Comparative Analysis of Scleral Buckling With or Without Postoperative Photocoagulation.

Yoon, Chang Kyoon; Lee, Jong Hoon; Chang, Moo Hwan

Original Article

Journal of the Korean Ophthalmological Society 2007;48(6):774-782.
Published online June 30, 2007.

Comparative Analysis of Scleral Buckling With or Without Postoperative Photocoagulation.

Chang Kyoon Yoon, Jong Hoon Lee, Moo Hwan Chang

Department of Ophthalmology, Dankook University College of Medicine, Cheonan, Korea. changmh@dankook.ac.kr

공막돌륭술로 치료한 열공망막박리 환자에서 술 후 광응고술 유무에 따른 임상 비교 분석

윤창균,이종훈,장무환

Department of Ophthalmology, Dankook University College of Medicine, Cheonan, Korea

Correspondence: Chang Kyoon Yoon, M.D.

Abstract

PURPOSE
For the treatment of rhegmatogenous retinal detachment, laser photocoagulation is usually combined with scleral buckling. But laser photocoagulation has high possibility of complications. So, we evaluated the effect of scleral buckling only without laser photocoagulation for the treatment of rhegmatogenous retinal detachment. METHODS: We reviewed pre- and post-operative characteristics of retinal detachment in 31 eyes who had undergone scleral buckling only (group A) and in 33 eyes who had laser photocoagulation after scleral buckling (group B). All the patients had similar preoperative findings and had been followed for 1 year or longer. RESULTS: Anatomic success rate was achieved in 83.9% in group A, 81.8% in group B after primary operation. Functional success rate was achieved in 61.3% in group A, 63.6% in group B. No complications in group A but proliferative vitreoretinopathy (3 eyes) and preretinal membrane (2 eyes) did form in group B. CONCLUSIONS: When the vitreoretinal traction is relieved by scleral buckling, we considered only scleral buckling procedure is the fairly effective procedure for retinal detachment in case of equatorial or peripheral tear and that also decrease the incidence of complication.

Key Words: Laser photocoagulation;Rhegmatogenous retinal detachment;Scleral buckling