단순 열공망막박리에서 일차 유리체절제술과 공막돌륭술의 치료성적 비교

• 영문명: Scleral Buckling and Primary Vitrectomy in Simple Rhegmatogenous Retinal Detachment
• 발행기관: 대한안과학회
• 저자명: 고태혁 최문정 조성원 이태곤 이재흥,Tae Hyuk Koh, MD, Moon Jeong Choi, MD, Sung Won Cho, MD, PhD, Tae Gon Lee, MD, Jae Heung Lee, MD, PhD
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume51,number3, 366~371쪽, 전체 6쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2010.03.15

영문 초록

Purpose: To compare the outcomes of scleral buckling (SB) and primary pars plana vitrectomy (PPV) for treatment of simple rhegmatogenous retinal detachment (RD). Methods: One hundred and fifteen Eyes undergoing SB or PPV for the treatment of simple rhegmatogenous RD were prospectively identified and followed up at least six months. Anatomic results, functional outcomes and complications were compared between eyes treated with SB and eyes treated with PPV. Results: We detected no significant differences in overall success rates or final vision quality between the two treatment groups. However, the final vision quality of pseudophakic patients treated with PPV was significantly better than the final vision quality of pseudophakic patients treated with SB. Two treatment goups experienced similar rates of intraocular pressure elevation and proliferative vitreoretinopathy development. In phakic patients, the rates of cataract progression were higher in patients treated with PPV than in patients treated with SB. Conclusions: PPV can be an effective method for the treatment of simple rhegmatogenous RD, and maybe considered as a viable alternative to SB for simple cases. However, in phakic patients treated with PPV, simultaneous or follow-up cataract surgery should be considered as adjuvant treatments. J Korean Ophthalmol Soc 2010;51(3):366-371

키워드

Retinal detachment, Scleral buckling, Vitrectomy