Journal of the Korean Ophthalmological Society 1997;38(10):1788-1796.
Published online October 1, 1997.
Factors Affecting the Visual Outcome after Successful Retinal Reattachment Surgery in Rhegmatogenous Retinal Detachment Involving the Macula.
Sang Kil Nam, Kwang Soo Kim
Departmetn of Ophthalmology, School of Medicine, Keimyung University, Taegu, Korea.
황반박리를 동반한 열공망막박리가 성공적으로 재유착된 경우에서 술후 시력결과에 영향을 미치는 인자
남상길(Sang Kil Nam),김광수(Kwang Soo Kim)
Abstract
To investigate the factors affecting the visual outcome after otherwise successful retinal reattachment surgery in rhegmatogenous retinal detachment involving macula, we performed a retrospective surgvey on 170 eyes encountered properly for this study. Preoperative variables used in this series included age of patients, duration of macular detachment, preoperative visual acuity, extent of detached retina, distance between breaks, and number, shape and location of breaks. We achieved visual acuities of 20/50 or better in 49% (83 of 170 eyes) after retinal reattachment surgery. Factors related to the favorable visual outcome (20/50 or better) were macular detachment lasting less than one month, preoperative visual acuities of 20/200 or better, extent of retinal detachment of 3Q or less, and detachment with tears located at or anterior to the equator. There was no relationship between the visual outcome and the type and the number of the breaks. Of all these variables, preoperative visual acuity has the closest correlation with the final visual results after anatomically successful reattachment surgery.
Key Words: Macular detachment;Preoperative visual acuity;Rhegmato genous retinal detachment;Visual outcome


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