Primary vitrectomy Using Scleral Depressin Technique for Rhegmatogenous Retinal Detachment.

Koo, Hyung Jin; Ahn, Byoung Sun; Min, Woon Ki

Original Article

Journal of the Korean Ophthalmological Society 1998;39(8):1816-1822.
Published online August 1, 1998.

Primary vitrectomy Using Scleral Depressin Technique for Rhegmatogenous Retinal Detachment.

Hyung Jin Koo, Byoung Sun Ahn, Woon Ki Min

Department of Ophthalmology, College of Medicine, Sung Kyun Kwan University, Samsung Medical Center, Seoul, Korea.

열공망막박리에서 공막누르기를 이용한 유리체절제술

구형진(Hyung Jin Ku),안병선(Byoung Sun Ahn),민욱기(Woog Ki Min)

Abstract

We performed a primary vitrectimy using scleral depression technique for uncomplicated rhegmetogenous retinal detachment and intended to highlight the importance of scleral depression technique. The indications for the primary vitrectomy were eyes with multiple or posteriorly located retinal breaks, unidentified retinal breaks, vitreous opacities, strong vitreous tractions on the retina tear flap, and aphakic/pseudophakic retinal detachments, Removal of vitreoretinal traction and vitreous base dissection using scleral depression technuque were performed in sixty-eight eyes of rhegmatogenous retinal detachment uncomplicated with proliferative vitreoretinopathy of grade C or worse. Scleral segmental buckle or encircling was also placed in 60 of 68 eyes. The retina was reattached after the primary operation in fifty-seven eyes(80.9%), and after reoperations in remaining eleven eyes(19.1%). Postoperative visual acuity was 0.4 or better in thirty-eight eyes (55.9%), and worse than 0.025 in eight eyes(11.8%). Vitrectomy in conjuction with scleral depression technique would be effective in increasing surgical success rate in selected cases of retinal detachment surgery.

Key Words: Primary vitrectomy;Rhegmatogenous retinal detachment;Scleral depression technique;Vitreous base dissection