A Clinical Study of Macular Pucker after Retinal Detachment Surgery.

Kim, Kyung Hwan; Heo, Jong Wook; Kwon, Oh Woong

Original Article

Journal of the Korean Ophthalmological Society 1995;36(9):1529-1535.
Published online September 1, 1995.

A Clinical Study of Macular Pucker after Retinal Detachment Surgery.

Kyung Hwan Kim, Jong Wook Heo, Oh Woong Kwon

¹Department of Ophthalmology, Capital Armed Forces, General Hospital, Seoul, Korea.
²Department of Ophthalmology, College of Medicine, Yonsei University, Seoul, Korea.

망막박리 수술후 발생한 황반주름에 대한 임상적 고찰

김경환(Kyung Hwan Kim),허종욱(Jong Wook Heo),권오웅(Oh Woong Kwon)

Abstract

A retrospective analysis of 122 consecutive of rhegmatogenous retinal detatchment cases which obtained successful surgical results was performed. All the cases were followed for longer than 1 year postoperatively. 15 eyes (12.3%) developed macular pucker. There was no significant difference in sex distribution and mean age was 43.7 years. The mean lapse time between surgery and the development of macular pucker was 7.2 months. Significant factors for developing macular pucker were multiple operation, preoperative macular detachment, and duration of retinal detachment (longer than 1 month). Other factors such as subretirial fluid drainage and myopia were not significant. 9 of 15 eyes with macular pucker were treated with vitrectomy and visual acuity improved in 66.7% of surgically treated eyes. These results suggest that success with single surgical procedure, operation before macular detachment, and early treatment of retinal detachment are important for preventing postsurgical macular pucker.

Key Words: Macular pucker;Rhegmatogenous retinal detachment;Vitrectomy