Clinical Study on Rhegmatogenous Retinal Detachment Treated with Scleral Buckling.

Kang, Il Suk; Kim, In Taek

Original Article

Journal of the Korean Ophthalmological Society 1991;32(4):232-239.
Published online April 1, 1991.

Clinical Study on Rhegmatogenous Retinal Detachment Treated with Scleral Buckling.

Il Suk Kang, In Taek Kim

Department of Ophthalmology, School of Medicine, Kyungpook National University, Taegu, Korea.

공막돌융술로 치유한 열공성망막박리의 임상적 고찰

강일석(Il Suk Kang),김인택(In Taek Kim)

Abstract

One hundred sixteen eyes with rhegmatogenous retinal detachment were treated with a scleral buckling procedure which consisted of silicone sponge or silicone band explants, cryotherapy, drainage of subretinal fluid, and other procedures. In 100(86.2%) of these eyes, anatomic reattachment was successful after one operation. Reattachment was not initially successful in 16 eyes. These failures generally resulted from proliferative vitreoretinopathy, diffuse and multiple lattice degeneration, and buckle malposition. Final success was achieved in 113(97.4%) of the 116 eyes. Overall, 49(42.2%) of the 116 eyes had a favorable functional visual result, which we defined as a final visual acuity of 0.3 or better. In this study we found no statistical relationship between age and postoperative visual outcome. But there was significant correlation between a favorable functional visual result and the location of retinal hole, the duration of retinal detachment(p<.05).

Key Words: Anatomic reattachment success;Functional visual result;Rhegmatogenous retinal detachment;Scleral buckling