Journal of the Korean Ophthalmological Society 1996;37(9):1478-1485.
Published online September 1, 1996.
Vitrectomy with Large Relaxing Retinectomy in the Management of Advanced Complex Retinal Detachment Cases.
Young Hee Yoon, Yong Sik Kim
Department of Onhthalmology, University of Ulsan, Asan Medical Center, Seoul, Korea.
심한 합병성 망막박리 치료를 위한 유리체절제술에서 광범위 이완망막절제술의 효과
윤영희(Young Hee Yoon),김용식(Yong Sik Kim)
Abstract
To investigate the usefulness of large relaxing retinectomies in the management of selected complicated retinal detachments. The charts of 25 consecutive patients who underwent large relaxing retinectomy during vitrectomy were reviewed. Penetrating injury(10 eyes) and chronic retinal detachment(11 eyes) were the leading etiologic diagnoses. 22 eyes showed extensive PVR, 14 of them had a PVR Grade C P 12 and 3 eyes had extensive vitreoretinal incarceration. Most eyes (22 eyes) had undergone one or more previous ocular procedures and four eyes were early phthisical preoperatively. Extended tamponade was achieved with either silicone oil(23 eyes) or C3F8 gas (2 eyes). Retinectomy size was larger than 180 degrees in 20 eyes, ranging from 90 degrees to 360 degrees. Total retinal reattachment was achieved in 15 eyes(60%) and subtotal attachment including the macula in 6 eyes(24%). 10 eyes(40%) achieved 5/200 or better. The size of retinectomy or etiologic diagnosis did not influence the anatomic results. Hypotony was seen in 3 eyes and corneal decompensation in 8 eyes. Large retinectomy in selected cases of vitreoretinal surgery seemed to be an effective procedure in eyes otherwise unsuccessful.
Key Words: Relaxing retinectomy;Pars plana vitrectomy;Proliferative vitreoretinopathy;Retinal detachment;silicone oil


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