| Prognostic Factors of Anatomical Success in Scleral Buckling for High Myopic Rhegmatogenous Retinal Detachment. |
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Hanjo Kwon, Min Kyu Shin, Sung Who Park, Ik Soo Byon, Ji Eun Lee, Boo Sup Oum |
1Department of Ophthalmology, Pusan National University School of Medicine, Yangsan, Korea. oph97@naver.com
2Medical Research Institute, Pusan National University Hospital, Busan, Korea.
3Research Institute for Convergence of Biomedical Science and Technology, Pusan National University Yangsan Hospital, Yangsan, Korea. |
| 고도근시 열공망막박리 공막돌륭술의 해부학적 성공의 예후인자 |
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권한조1⋅신민규1⋅박성후1,2⋅변익수1,3⋅이지은1,2⋅엄부섭1,2 |
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부산대학교 의과대학 안과학교실1, 부산대학교병원 의생명연구원2, 양산부산대학교병원 의생명융합연구소3 |
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| Abstract |
PURPOSE
To assess the prognostic factors associated with anatomical success of scleral buckle (SB) for rhegmatogenous retinal detachment (RRD) in high myopia patients. METHODS: The medical records of RRD in highly myopic eyes treated with SB from January 2009 to December 2013 were reviewed retrospectively. Cases with history of intraocular surgery including phacoemulsification and vitrectomy were excluded. Correlations between anatomical success and the parameters of age, sex, preoperative visual acuity, axial length, presence of large tear, presence of horseshoe tear, the number of tears, involved fovea, and extent of detachment were analyzed. RESULTS: This study included 80 eyes of 80 patients. Average age and axial length were 32.3 ± 13.4 and 26.753 ± 0.961 mm, respectively. Sixty-nine eyes (86.3%) were reattached following primary surgery. Univariate analysis revealed that age (p = 0.011), presence of large tear (p = 0.002), and presence of horseshoe tear (p = 0.044) were correlated with anatomical success after SB. Based on multivariate logistic regression analysis, age was the sole independent prognostic factor (odds ratio = 1.086, 95% confidence interval = 1.022~1.154, p = 0.004). CONCLUSIONS: A younger age is associated with a higher rate of primary anatomical success of SB for RRD in highly myopic eyes. In young, highly myopic patients with RRD, SB should be considered as the primary procedure. |
| Key Words:
Anatomical success;High myopia;Prognostic factor;Rhegmatogenous retinal detachment;Scleral buckle |
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