A Clinical Study on Rhegmatogenous Retinal Detachment.

Jeong, Sang Ki; Park, Yeoung Geol; Lee, Moon Key

Original Article

Journal of the Korean Ophthalmological Society 1992;33(6):589-598.
Published online June 1, 1992.

A Clinical Study on Rhegmatogenous Retinal Detachment.

Sang Ki Jeong, Yeoung Geol Park, Moon Key Lee

Department of Ophthalmology, Chonnam University, Medical School, Kwangju, Korea.

열공성 망막박리의 임상적 고찰

정상기(Sang Ki Jeong),박영걸(Yeoung Geol Park),이문기(Moon Key Lee)

Abstract

A retrospective study was performed in 180 eyes (173 patients) with rhegmatogenous retinal detachment which underwent primary scleral buckling operations. One hundred and sixteen patients (67.1 %) were men. The most common age group was the seventh decade (34 patients, 19.6%). Moderate- to high- degree myopia were the most numerous (65 eyes, 38.0%) as the associated ocular findings and the peripheral retinal degenerations were next (44 eyes. 257%). One hundred and fifty eyes had retinal breaks preoperatively, 129 eyes (76.8%) had breaks distributed in the superior and/or inferior temporal quadrants, 84 eyes (56.0%) had breaks located in the equator and 82 eyes (54.7%) had atrophic holes. Among 180 eyes studied, 141 eyes (78.3%) achieved retinal reattachment by primary scleral buckling operations. Preoperative and/or postoperative proliferative vitreoretinopathy as causes of failure were presented in 18 eyes. Ten eyes had intraocular hemorrhage as intraoperative complications and the other 10 eyes developed cataract as postoperative ones. Fourty-seven eyes (33.3%) had corrected visual acuity below 0.1 in spite of successful retinal reattachment and 23 eyes had macular degenerations as the most common causes of poor vision.

Key Words: Corrected visual acuity;Primary scleral buckling operations;Retinal breaks;Retinal reattachment;Rhegmatogenouss retinal detachment