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KMID : 0360220090500030399
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Journal of the Korean Ophthalmological Society
2009 Volume.50 No. 3 p.399 ~ p.404
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Foveal Reattachment After Scleral Buckling vs Vitrectomy for Macula-Off Retinal Detachment
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Ku Myun
Sohn Hee-Jin
Lee Dae-Yeong
Nam Dong-Heun
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Abstract
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Purpose: To compare the time course of foveal reattachment after successful surgery for macula-off retinal detachments by scleral buckling or pars plana vitrectomy (PPV).
Methods: We retrospectively examined, using optical coherence tomography (OCT), the cross-sectional retinal images of 28 patients who underwent scleral buckling or PPV for macula-off retinal detachment and whose retinas reattached upon binocular stereoscopic indirect ophthalmoscopy within 4 weeks postoperatively. All eyes underwent clinical examination and OCT scan of the macula at 6 weeks after surgery. If subretinal fluid persisted, repeated OCT was obtained at every 1~2 months until no abnormality was seen on OCT. Demographic data, including detachment characteristics, was also analyzed.
Results: On postoperative OCT examination 6 weeks after surgery, complete foveal reattachments were detected in 14 patients (73.7%) in the PPV group (n=19), significantly higher than 3 (33.3%) patients in the buckling group (n=9). Foveal reattachment took a mean 8.31±5.25 weeks in the PPV group and a mean 20.89±11.37 weeks in the buckling group.
Conclusions: Foveal reattachment after macula-off retinal detachment occurred faster after PPV than after buckle surgery.
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KEYWORD
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Macula detachment, Optical coherence tomography, Retinal detachment, Subfoveal fluid
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