단순 열공성 망막박리의 일차수술 실패 요인에 대한 연구

• 영문명: Factor Influencing Anatomical Failure of Simple Rhegmatogenous Retinal Detachment
• 발행기관: 대한안과학회
• 저자명: 이마빈 문찬식 양홍석 유호민,MarVin Lee, M.D., Chan-Shik Moon, M.D., Hongseok Yang, M.D., Ho Min Lew, M.D.
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume47,number3, 407~414쪽, 전체 8쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2006.03.31

영문 초록

Purpose: This study analyzes the factors influencing anatomical failure of the primary operation for simple rhegmatogenous retinal detachment. Methods: The patients in this study were diagnosed with simple rhegmatogenous retinal detachment and operated on by a single physician. The success group comprised 251 eyes and the failure group comprised 29 eyes. The factors analyzed between the two groups were the type of primary procedure, the type of retinal defect; the numbers of retinal defects; the extent of retinal detachment; the duration of retinal detachment; the existence of peripheral degeneration; carrying out of subretinal fluid drainage; the type of tamponade material used and the position of retinal defects. Results: The anatomical success rate of the primary operation for simple rhegmatogenous retinal detachment was 89.64%. Patient sex, the type of tamponade material used and the position of the retinal defect showed significant differences between the success and failure groups. There was a higher percentage of male patients in the failure group than in success group (p=0.034). Silicone oil used as the tamponade material resulted in a greater chance of failure than success (p=0.017). Analysis of the position of the retinal defect showed that, defects distributed in the inferior retina or through multiple area led to a greater likelihood of anatomical failure (p=0.036). Conclusions: Due ti the greater possibility of anatomical failure of the primary operation when retinal defects are distributed in the inferior retina or through multiple area, clinicians should consider intensive treatment for such cases.

키워드

Anatomical success, Prognostic factor, Rhegmatogenous retinal detachment