Comparison of Postoperative Visual Field and Nerve Fiber Layer Change in Rhegmatogenous Retinal Detachment.

Yoon, Je Hwan; Nam, Dong Heun; Lee, Dae Young

doi:2012.53.9.1285

J Korean Ophthalmol Soc > Volume 53(9); 2012 > Article

Original Article

Journal of the Korean Ophthalmological Society 2012;53(9):1285-1290.
DOI: https://doi.org/10.3341/jkos.2012.53.9.1285 Published online September 15, 2012.

Comparison of Postoperative Visual Field and Nerve Fiber Layer Change in Rhegmatogenous Retinal Detachment.

Je Hwan Yoon, Dong Heun Nam, Dae Young Lee

Department of Ophthalmology, Gachon University Gil Medical Center, Gachon University, Incheon, Korea. dylee@gilhospital.com

열공망막박리 환자의 수술 후 시야 및 망막신경섬유층 변화 비교

윤제환⋅남동흔⋅이대영

Department of Ophthalmology, Gachon University Gil Medical Center, Gachon University, Incheon, Korea

Abstract

PURPOSE
To compare the visual field and retinal nerve fiber layer of scleral buckling (SB) and primary pars plana vitrectomy (PPV) for treatment of simple rhegmatogenous retinal detachment (RRD). METHODS: We studied 20 eyes with RRD that were underwent successful surgical reattachment. Visual field test and retinal nerve fiber layer (RNFL) thickness measurements were performed in patients, and outcomes were compared not only between the operated eye and fellow eye, but also between SB and PPV 3 months postoperatively. RESULTS: After the operation, PSD and MD were higher in the operated eye than in the fellow eye (p = 0.002, p < 0.001, respectively). RNFL thickness was lower in the operated eye than in the fellow eye (p < 0.001). No significant differences in BCVA were detected between SB and PPV. However, the respective differences between the operated eye and fellow eye regarding pattern standard deviation (4.0 +/- 4.0, 0.7 +/- 1.5), mean deviation (6.5 +/- 4.6, 1.9 +/- 1.9), and RNFL (8.2 +/- 10.3 microm, 1.8 +/- 2.7 microm) were significantly higher in PPV than in SB. CONCLUSIONS: Both visual field defect and retinal nerve fiber damage are significantly larger in PPV than in SB.

Key Words: Pars plana vitrectomy;Retinal nerve fiber layer;Rhegmatogenous retinal detachment;Scleral buckling;Visual field