망막박리의 수술방법에 따른 황반 재유착 경과에 대한 빛간섭단층촬영 비교 연구

• 영문명: Foveal Reattachment After Scleral Buckling vs Vitrectomy for Macula-Off Retinal Detachment
• 발행기관: 대한안과학회
• 저자명: 구면 손희진 이대영 남동흔,Myun Ku, MD, Hee Jin Sohn, MD, Dae Yeong Lee, MD, Dong Heun Nam, MD, PhD
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume50,number3, 399~404쪽, 전체 6쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2009.03.15

영문 초록

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.

키워드

Macula detachment, Optical coherence tomography, Retinal detachment, Subfoveal fluid