KMID : 0360220090500030399
|
|
Journal of the Korean Ophthalmological Society 2009 Volume.50 No. 3 p.399 ~ p.404
|
|
Foveal Reattachment After Scleral Buckling vs Vitrectomy for Macula-Off Retinal Detachment
|
|
Ku Myun
Sohn Hee-Jin Lee Dae-Yeong Nam Dong-Heun
|
|
Abstract
|
|
|
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¡¾5.25 weeks in the PPV group and a mean 20.89¡¾11.37 weeks in the buckling group.
Conclusions: Foveal reattachment after macula-off retinal detachment occurred faster after PPV than after buckle surgery.
|
|
KEYWORD
|
|
Macula detachment, Optical coherence tomography, Retinal detachment, Subfoveal fluid
|
|
FullTexts / Linksout information
|
|
|
|
Listed journal information
|
|
|