Phacovitrectomy versus Vitrectomy only for Primary Rhegmatogenous Retinal Detachment Repair.

Gu, Byoung Young; Sagong, Min; Chang, Woo Hyok

doi:2011.52.5.537

J Korean Ophthalmol Soc > Volume 52(5); 2011 > Article

Original Article

Journal of the Korean Ophthalmological Society 2011;52(5):537-543.
DOI: https://doi.org/10.3341/jkos.2011.52.5.537 Published online May 15, 2011.

Phacovitrectomy versus Vitrectomy only for Primary Rhegmatogenous Retinal Detachment Repair.

Byoung Young Gu, Min Sagong, Woo Hyok Chang

Department of Ophthalmology, Yeungnam University College of Medicine, Daegu, Korea. changwh@ynu.ac.kr

원발성열공망막박리 환자에서 단독유리체절제술과 수정체유화술 및 유리체절제술병합술의 결과 비교

구병영⋅사공민⋅장우혁

Department of Ophthalmology, Yeungnam University College of Medicine, Daegu, Korea

Abstract

PURPOSE
To compare the outcomes of phacovitrectomy and vitrectomy only for treatment of primary rhegmatogenous retinal detachment. METHODS: The anatomical success, functional success, and complications between Group I patients who underwent vitrectomy only and Group II patients who underwent phacovitrectomy for primary rhegmatogenous retinal detachment were retrospectively compared. RESULTS: Twenty-one eyes (84.0%) in Group I had reattachment after vitrectomy only, and 27 eyes (90.0%) in Group II had reattachment after phacovitrectomy. However, the differences in the measures attributes were not statistically significant (p = 0.271). The logMAR visual acuity improved in both groups with no statistically significant difference between the two groups (p = 0.102). Postoperative complications included cataract progression in 20 eyes (80.0%) in Group I and 17 of the 20 eyes (68.0%) underwent cataract surgery within one year after the first surgery. CONCLUSIONS: Phacovitrectomy, irrespective of severe lens opacity, is a relatively effective combined surgical procedure in older patients with primary rhegmatogenous retinal detachment and impending presbyopia. The procedure allows for easy access to the periphery during vitreous shaving and prevents the need for a second cataract operation.

Key Words: Phacoemulsification;Phacovitrectomy;Rhegmatogenous retinal detachment;Vitrectomy