J Korean Ophthalmol Soc > Volume 56(12); 2015 > Article
Journal of the Korean Ophthalmological Society 2015;56(12):1880-1886.
DOI: https://doi.org/10.3341/jkos.2015.56.12.1880    Published online December 15, 2015.
Vitrectomy with Perfluorocarbon Liquid versus Combined Encircling for Retinal Detachment with Giant Retinal Tear.
Dong Hyun Lee, Kyong Ho Kim, Sung Who Park, Ik Soo Byon, Ji Eun Lee
1Department of Ophthalmology, Pusan National University Yangsan Hospital, Yangsan, Korea. isbyon@naver.com
2Research Institute for Convergence of Biomedical Science and Technology, Pusan National University Yangsan Hospital, Yangsan, Korea.
3Department of Ophthalmology, Pusan National University Hospital, Busan, Korea.
4Department of Ophthalmology, Pusan National University School of Medicine, Busan, Korea.
거대열공 망막박리에서 과불화탄소액을 사용한 유리체절제술 단독수술과 공막두르기 병합수술 비교
이동현1⋅김경호1,2⋅박성후3⋅변익수1,2,4⋅이지은3,4
양산부산대학교병원 안과학교실1, 양산부산대학교병원 의생명융합연구소2, 부산대학교병원 안과학교실3, 부산대학교 의학전문대학원 안과학교실4
Received: 17 April 2015   • Revised: 3 July 2015   • Accepted: 22 September 2015
Abstract
PURPOSE
To evaluate the clinical usefulness of additional encircling in patients treated for retinal detachment with giant retinal tear and without proliferative vitreoretinopathy, compared to single vitrectomy using perfluorocarbon liquid. METHODS: Patients who underwent surgery for retinal detachment with giant retinal tear were divided into either the vitrectomy alone group or combined vitrectomy and encircling group. We reviewed the primary anatomical success rate, final anatomical success rate and best corrected visual acuity (BCVA) at the last follow-up (log MAR). Additionally, BCVA at the first visit, intraocular pressure, lens status, history of intraocular surgery, high myopia, trauma history, time from symptom onset to surgery, location and size of the giant retinal tear, extent of retinal detachment and foveal detachment were reviewed. RESULTS: Among a total of 29 eyes, the vitrectomy alone group included 8 eyes and the combined group 21 eyes. Location and size of the giant retinal tear, extent of retinal detachment and foveal detachment, intraocular pressure, history of intraocular surgery, lens status, high myopia, trauma history and time from symptom onset to surgery were not different between the 2 groups. The primary success rate was 87.5% in the vitrectomy group and 85.7% in the combined group; the final surgery success rate was 100.0% and 95.2%, respectively. There was no significant difference in the anatomical success rate between the 2 groups. The postoperative BCVA was similar in both groups (0.80 vs. 0.92). CONCLUSIONS: When vitrectomy using perfluorocarbon liquid was performed for the treatment of giant retinal tear without proliferative vitreoretinopathy, an encircling provided no additional benefit for the anatomical success rate and visual recovery. Only intensive vitrectomy of peripheral retina was considered capable of achieving a successful retinal attachment in patients without proliferative vitreoretinopathy.
Key Words: Encircling;Giant retinal tear;Perfluorocarbon liquid;Retinal detachment;Vitrectomy


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