Clinical Analysis of Laser Photocoagulation Following Scleral Buckling for the Treatment of Rhegmatogenous Retinal Detachment.

Lee, S H; Chang, M H; Choi, W S

Original Article

Journal of the Korean Ophthalmological Society 1999;40(11):3111-3116.
Published online November 1, 1999.

Clinical Analysis of Laser Photocoagulation Following Scleral Buckling for the Treatment of Rhegmatogenous Retinal Detachment.

S H Lee, M H Chang, W S Choi

Department of Ophthalmology, Dankook University Medical Center, Dankook University College of Medicine.

열공성 망막박리에 대한 공막돌융술후 광응고술의 임상분석

이수혁(Soo Hyuk Lee),장무환(Moo Hwan Chang),최웅산(Woong San Choi)

Abstract

Cryotherapy has high possibility of complications such as dispersion of viable retinal pigment epithelium causing proliferative vitreoretinopathy, choroidal effusion, cystoid macular edema, blood-retinal barrier breakdown, and exudative retinal detachment. So, we evaluated the effect of laser photocoagulation in comparison with the effect of cryopexy following scleral buckling for the treatment of rhegmatogenous retinal detachment. We reviewed pre-and postoperative characteristics of retinal detachment in 37 eyes of 37 patients who had undergone laser photocoagulation after scleral buckling procedure and had been followed for 1 year or longer. Retinal reattachment was achieved in 34 of 37 eyes[91.9%] after primary operation. Visual acuity improved in 27 of 37 eyes[73%], and no case had been complicated with proliferative vitreoretinopathy. Our results suggest that laser photocoagulation is the effective alternative to cryotherapy in the scleral buckling procedure of retinal reattachment surgery.

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