J Korean Ophthalmol Soc > Volume 57(6); 2016 > Article
Journal of the Korean Ophthalmological Society 2016;57(6):935-940.
DOI: https://doi.org/10.3341/jkos.2016.57.6.935    Published online June 15, 2016.
A Result of Pneumatic Retinopexy for Pseudophakic Retinal Detachment.
Young Seung Seo, Jun Won Jang, Jong Min Kim, Moo Hwan Chang
1Department of Ophthalmology, Dankook University Medical College, Cheonan, Korea. changmh@dankook.ac.kr
2Department of Ophthalmology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
인공수정체 망막박리에서 기체망막유착술의 결과
서영승1⋅장준원1⋅김종민2⋅장무환1
단국대학교 의과대학 안과학교실1, 성균관대학교 의과대학 삼성서울병원 안과학교실2
Correspondence:  Moo Hwan Chang,
Email: changmh@dankook.ac.kr
Received: 25 February 2016   • Revised: 5 April 2016   • Accepted: 27 May 2016
Abstract
PURPOSE
To evaluate the clinical effectiveness of pneumatic retinopexy as a treatment method for pseudophakic retinal detachment. METHODS: A retrospective chart review was conducted of medical records of 38 patients who underwent pneumatic retinopexy using SF6 gas from January 2003 to December 2011 and who were observed during a follow-up period longer than 6 months. Primary and final success rates and final visual acuity were analyzed. Primary success was defined as retinal attachment at the last visit without additional surgery. Final success was defined as retinal reattachment at the last visit regardless of additional surgery. RESULTS: The mean patient age was 58.47 ± 17.00 years. All retinal tears were located in the upper retina (from 8 to 4 o'clock). Preoperative mean visual acuity was 1.17 ± 1.00 log MAR, and postoperative mean visual acuity was 0.42 ± 0.48 log MAR. The primary success rate was 61%, and patients with re-detached retina underwent repeat pneumatic retinopexy or other surgery such as scleral buckling or pars plana vitrectomy. At the final visit, all of the patients demonstrated successful results. CONCLUSIONS: Pneumatic retinopexy does not result in strabismus or refractive error, and the final success rate was 66% in our study. Therefore, pneumatic retinopexy can be considered as an effective management technique for some pseudophakic retinal detachment patients.
Key Words: Pneumatic retinopexy;Pseudophakic retinal detachment


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