Vitrectomy without Dcleral Buckling for the Treatment of Primary Rhegmatohenous Retinal Detachment.

Kang, S W; Min, J P

Original Article

Journal of the Korean Ophthalmological Society 1997;38(2):227-235.
Published online February 1, 1997.

Vitrectomy without Dcleral Buckling for the Treatment of Primary Rhegmatohenous Retinal Detachment.

S W Kang, J P Min

Department of Ophthalmology, College of Medicine, Chungbuk National University, Cheongju, Korea.

원발성 열공망막박리에 대한 유리체절제술의 임상적 고찰

강세웅(Kang S.W),민진배(Min J.P)

Abstract

Vitrectomy without scleral buckling for the treatment of primary rhegmatogenous retinal detachment was done in 24 eyes(24 person). The minimum follow up period in each case was 4 months. Indications of primary vitrectomy were 1) the complex arrangement of retinal breaks or 2) the presence of large retinal break or 3) the presence of retinal break near posterior pole. Anatomical success rate after single operation was 87.5%. Appearance of new retinal break, proliferative vitreoretinopathy and incomplete relief of traction caused anatomical failure in 3 eyes respectively after single operation. Visual acuity was improved in ninety-two percent of cases postoperatively. Progression of lens opacity(27.2%) and elevated intraocular pressure (25.0%) constituted the major complications after primary vitrectomy. In conclusion, we regard primary vitrectomy as an efficient surgical alternative to scleral buckling in selected cases of peimary rhegmatogenous retinal detachment.

Key Words: Primary rhegmatogenous retinal detachment;Vitrectomy