| Surgical Prognosis of Retinal Detachment due to Macular Hole. |
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Sung Kyu Park, Si Yeol Kim |
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Department of Ophthalmology, School of Medicine, Kyungpook National University, Korea. kimsy@kyungpook.ac.kr |
| 황반원공으로 인한 망막박리의 수술 예후인자 |
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박성규(Sung Kyu Park),김시열(Si Yeol Kim) |
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| Abstract |
PURPOSE
In order to evaluate the prognostic factors of vitrectomy for the teatment of retinal detachment due to macular hole. METHODS: The medical records of 19 patients who had undergone pars plana vitrectomy were analyzed. RESULTS: After the first operation, the retinal reattachment was achieved in 12 patients out of 19 patients(63.2%). Among 7 patients who had persistent retinal detachment after the first operation, 6 patients underwent reoperation and 4 out of whom were successfully reattached. The final success rate was 88.9%(16 out of 18 patients). Between 12 patients with successful first operation and the remaining 7 patients, there were statistically significant differences in the incidence of posterior staphyloma, myopic chorioretinal atrophy, proliferative vitreoretinopathy, retinal detachment in two quadrant or more, and complete removal of epiretinal membrane(p<0.05). CONCLUSION: These results suggest that surgical success of post-operation of retinal detachment due to macular hole seems to be related to complete epiretinal membrane removal, proliferative vitreoretinopathy, posterior staphyloma, myopic chorioretinal atrophy and extension of retinal detachment. |
| Key Words:
Macular hole;Pars plana vitrectomy;Prognostic factors;Retinal detachment |
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