| Comparison of Results of Cryopexy and Laser Indirect Ophthalmoscopy in Rhegmatogenous Retinal Detachment. |
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Chang Hyun Park, Song Hee Park, Sung Jin Lee |
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Department of Ophthalmology, Soonchunhyang University, College of Medicine, Seoul, Korea. wismile@unitel.co.kr |
| 열공망막박리에서 냉동고정술과 도상검안경레이저광응고술의 결과 비교 |
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박창현ㆍ박성희ㆍ이성진 |
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Department of Ophthalmology, Soonchunhyang University, College of Medicine, Seoul, Korea |
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| Abstract |
PURPOSE
To compare the efficacy and safety of intraoperative laser indirect ophthalmoscopy and cryopexy for rhegmatogenous retinal detachment through the use. METHODS: We retrospectively analyze the clinical results of 60 patients (61 eyes) with rhegmatogenous retinal detachment. All eyes had an attached macula and were scheduled for conventional scleral buckling surgery with cryopexy (25 eyes) or laser indirect ophthalmoscopy (36 eyes) from March 2001 to August 2007. The visual acuities of the two groups at the first postoperative day, 1 week, 1 month, and 3 months were compared. Retinal reattachment, macular pucker, cystoid macular edema, and proliferative vitreoretinopathy were confirmed 3 months after surgery. RESULTS: The visual recovery was faster in patients who received laser indirect ophthalmoscopy (1 day, P=0.044; 1 week, P=0.017). During the follow-up period, anatomical failure in the laser indirect ophthalmoscopy group did not develop, but there were two anatomical failures in the cryopexy group. In addition, 1 PVR was detected in the cryopexy group. However, neither group exhibited macular pucker or cystoid macular edema. Postoperative additional laser photocoagulation was performed on 7 eyes (19.4%) in thelaser indirect ophthalmoscopy group and 2 eyes (4.0%) in the cryopexy group. CONCLUSIONS: Although intraoperative laser indirect ophthalmoscopy causes less chorioretinal scar formation than cryopexy, it has a higher anatomical success rate and allows for faster visual recovery. |
| Key Words:
Cryopexy;Laser indirect ophthalmoscopy;Photocoagulation;Retinal detachment;Scleral buckling |
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