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KMID : 0213520090230040253
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Korean Journal of Ophthalmology
2009 Volume.23 No. 4 p.253 ~ p.258
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The Efficacy of Fluid-Gas Exchange for the Treatment of Postvitrectomy Retinal Detachment
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Jang Ji-Hye
Kim Yu-Cheol
Kim Kwang-Soo
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Abstract
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Purpose: This study was designed to evaluate the efficacy of fluid-gas exchange for the treatment of postvitrectomy retinal detachment.
Methods: We retrospectively reviewed the records of 33 consecutive patients (35 eyes) who underwent fluid-gas exchange treatment for postvitrectomy retinal detachment using the two-needle pars plana approach technique.
Results: The retinal reattachment rate was 80.0% after complete intravitreal gas disappearance following the fluid-gas exchange; the overall success rate was 65.7%. Visual acuity was improved or stable in 80.0% of cases; a two-line or greater vision improvement or a best-corrected visual acuity of 0.4 or better occurred in 62.9% of cases. The success rates for superior retinal detachments and posterior pole retinal detachments were 76.5% and 85.7%, respectively.
Conclusions: Fluid-gas exchange represents a simple and cost-effective alternative outpatient procedure for retinal reattachment without reoperation for the treatment of superior and posterior pole retinal detachments.
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KEYWORD
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Fluid-gas exchange, Postvitrectomy retinal detachment, Two-needle pars plana approach technique
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