Journal of the Korean Ophthalmological Society 2001;42(9):1277-1283.
Published online September 1, 2001.
Clinical Analysis According to Treatment Methods in Simple Retinal Detachment.
Hyoung Joon Park, Man Seong Seo
1Department of Ophthalmology, Chonnam National University Medical School.
2Chonnam National Research Institute for Medical Sciences, Kwangju, Korea.
단순망막박리에 있어 수술방법에 따른 임상분석
박형준(Hyoung Joon Park),서만성(Man Seong Seo)
Abstract
PURPOSE
To determine the difference among the results of three kinds of methods for the treatment of simple retinal detachment. METHODS: We analyzed the patients undergoing primary pars plana vitrectomy(Group I: January to June, 1997), scleral buckling(Group II: January to June, 1996) and pneumatic retinopexy(Group I: January to June, 1995) to treat simple retinal detachments with retinal breaks located in peripheral retina, smaller than one clock hour, breaks in the superior eight clock hours, multiple breaks extending less than two clock hours and no severe retinal traction. RESULTS: The final visual acuity was 5/200 or more(functional success) in 19 eyes(100%) of Group I, 19 eyes(100%) of Group cII and 20 eyes(90.9%) of Group I. Primary retinal reattachment(anatomical success) was in 17 eyes(89.5%) of Group I, 19 eyes(100%) of Group II and 18 eyes(81.8%) of Group I with no statistically significant difference among the three groups. The final retinal reattachment rate was 100% in all groups. CONCLUSIONS: This result suggests the scleral buckling might be a little bit better for the treatment of simple retinal detachment, though each of three surgical methods showed no statistical difference of functional and anatomical results.
Key Words: Pars plana vitrectomy;Pneumatic retinopexy;Scleral buckling;Simple retinal detachment


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