| Prognostic Factors of Anatomical Success in Microincisional Vitrectomy for Rhegmatogenous Retinal Detachment. |
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Seok Jae Lee, Han Jo Kwon, Kang Yoon Park, Sung Who Park, Ik Soo Byon, Ji Eun Lee |
1Department of Ophthalmology, Pusan National University College of Medicine, Busan, Korea. oph97@naver.com
2Medical Research Institute, Pusan National University Hospital, Busan, Korea.
3Research Institute for Convergence of Biomedical Science and Technology, Pusan National University Yangsan Hospital, Yangsan, Korea. |
| 열공망막박리 미세절개 유리체절제술의 해부학적 성공의 예측인자 |
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이석재1⋅권한조1⋅박강윤1⋅박성후1,2⋅변익수1,3⋅이지은1,2 |
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부산대학교 의과대학 안과학교실1, 부산대학교병원 의생명연구원2, 양산부산대학교병원 의생명융합연구소3 |
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| Abstract |
PURPOSE
To determine the prognostic factors of primary anatomical success after microincisional vitrectomy for rhegmatogenous retinal detachment (RRD). METHODS: The medical records of 206 eyes treated with microincisional vitrectomy for RRD from 2009 to 2014 were retrospectively reviewed. The preoperative factors (best corrected visual acuity, break sites, number of breaks, break size, extent of retinal detachment, high myopia, lens status) and intraoperative factors (combined cataract surgery, vitrectomy machine, tamponade, sclerotomy size) were investigated to determine correlations with primary anatomical success. RESULTS: Of the 206 eyes, 198 eyes (96.1%) were reattached after primary vitrectomy; 46 eyes of 48 eyes with inferior breaks (95.8%, p = 1.000), 42 eyes of 44 pseudophakic eyes (95.5%, p = 1.000), 84 eyes of 89 eyes with multiple breaks (95.4%, p = 0.296). All 39 eyes using air tamponade (100%, p = 0.224) were reattached and there was no significant correlation with primary anatomical success. Conversely, 44 eyes of 49 eyes with high myopia (89.8%) were reattached after primary surgery, which was lower than non-high myopic eyes (98.1%, p = 0.028). Multivariate logistic regression showed that high myopia was an independent factor for primary reattachment failure (odds ratio = 5.795, 95% confidence interval = 1.332–25.208, p = 0.019). CONCLUSIONS: Microincisional vitrectomy for RRD showed a high reattachment rate regardless of break site and number, lens status, or tamponade type. However, primary reattachment failure was relatively common in high myopia patients, thus, meticulous care is required. |
| Key Words:
Pars plana vitrectomy;Prognosis;Rhegmatogenous retinal detachment |
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