Surgical Results of the Uncomplicated Giant Retinal Breaks. |
Hyung Jin Koo, Dong Woo Park, Woog Ki Min |
Department of Ophthalmology, Samsung Medical Center, College of Medicine, Sung Kyun Kwan University, Seoul, Korea. |
증식유리체망막병증이 합병되지 않은 거대망막열공의 수술성적 |
구형진(Hyung Jin Ku),박동우(Dong Woo Park),민욱기(Woog Ki Min) |
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Abstract |
The surgical success rate for retinal detachment caused by giant retinal breaks was very low in the past because of its frequent association with proliferative vitreoretinopathy and inverted retina I flap. Recently advances in vitreoretinal surgical techniques as well as introduction of perfluorocarbon liquid result in good surgical results. Eleven eyes with uncomplicated retinal detachment from giant retinal breaks underwent vitrectorny. A special effort was made to remove as much vitreous gel of the vitreous base as possible. Lensectomy or encircling was performed, when needed. Inverted retinal flap was unfolded using perfluorocarbon liquid. After laser ph/otocoagulation, internal tamponade was performed with C3 F8 gas or silicone oil. Postoperatively, we achieved anatomical success in all eleven eyes and favorable visual acuity of better than 0.4 in nine eyes(81.8%). We obtained good surgical results for uncomplicated giant retinal breaks using meticulous vitreous base dissection and perfluorocarbon liquid. Removal of crystalline lens or scleral buckling is not always needed in this complex retinal detachment surgery. |
Key Words:
Giant retinal break;Lensectomy;Perfluorocarbon liquid;Scleral buckling |
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