| Outcomes of Relaxing Retinectomy in Patients with Proliferative Vitreoretinopathy. |
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Seong Chan Choi, Han Joo Cho, Dong Won Lee, Sung Won Cho, Tae Gon Lee, Chul Gu Kim, Jong Woo Kim, Hyoung Seok Kim |
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Myunggok Eye Research Institute, Department of Ophthalmology, Kim's Eye Hospital, Konyang University College of Medicine, Seoul, Korea. burnlife@kimeye.com |
| 증식유리체망막병증 환자에서 이완 망막절개술의 결과 |
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최성찬⋅조한주⋅이동원⋅조성원⋅이태곤⋅김철구⋅김종우⋅김형석 |
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건양대학교 의과대학 김안과병원 안과학교실 명곡안연구소 |
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Received: 5 December 2014 • Revised: 31 December 2014 • Accepted: 12 May 2015 |
| Abstract |
PURPOSE
To report the outcomes of relaxing retinectomy for retinal detachment in patients with proliferative vitreoretinopathy (PVR). METHODS: Sixty-four cases of relaxing retinectomy for PVR with a minimum follow-up of 6 months were retrospectively reviewed. The outcomes included achievement of complete retinal reattachment, PVR recurrence, the mean number of additional operations, visual acuity and incidence of postoperative complications. We analyzed the influence of intraoperative factors including lens status, retinectomy extent, additional scleral buckling, and tamponade agent on primary retinal reattachment. RESULTS: Complete retinal reattachment was achieved in 47 eyes (74.3%) without an additional surgery. PVR recurred in 19 eyes (29.7%) and an additional operation was performed in 17 eyes (26.6%). Fifty-seven (89.1%) eyes showed complete retinal reattachment and 40 eyes (62.5%) had visual acuity of 0.02 or more at the final follow-up visit. Hypotony was the major complication and developed in 10 eyes (15.6%). Eyes undergoing smaller (< 180degrees) retinectomy or silicone oil tamponade had higher primary anatomical success rates than larger (> or = 180degrees) retinectomy or gas tamponade (p = 0.043 and 0.013, respectively). CONCLUSIONS: Relaxing retinectomy is a useful technique for retinal detachment with PVR, but risk of recurrent proliferation or hypotony should be considered. |
| Key Words:
Hypotony;PVR;RD;Relaxing;Retinectomy |
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