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

• 영문명: Comparative Analysis of Scleral Buckling With or Without Postoperative Photocoagulation
• 발행기관: 대한안과학회
• 저자명: 윤창균 이종훈 장무환,Chang Kyoon Yoon, M.D., Jong Hoon Lee, M.D., Moo Hwan Chang, M.D.
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume48,number6, 774~782쪽, 전체 9쪽
• 주제분류: 인문학 > 역사학
• 파일형태: PDF
• 발행일자: 2007.06.30

영문 초록

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.

키워드

Laser photocoagulation, Rhegmatogenous retinal detachment, Scleral buckling