황반부를 침범한 망막박리에서 술 후 중심와박리의 재유착 및 시력예후

• 영문명: Visual Prognosis and Foveal Reattachment After Reattachment Surgery in Macula-off Retinal Detachment
• 발행기관: 대한안과학회
• 저자명: 현효진 손병재 박동호 신재필 김시열,Hyo Jin Hyun, MD, Byung Jae Sohn, MD, Dong Ho Park, MD, Jae Pil Shin, MD, Si Yeol Kim, MD
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume51,number4, 558~567쪽, 전체 10쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2010.04.15

영문 초록

Purpose: To evaluate the visual prognosis and time course of the foveal reattachment according to operation methods and preoperative factors using optical coherence tomography (OCT) after successful reattachment surgery in cases of macula-off rhegmatogenous retinal detachment. Methods: From Jan 2006 to Aug 2008, 47 patients who underwent retinal reattachment surgery for macula-off retinal detachment who were followed up for more than 12 months were enrolled in this study. Thirty patients underwent vitrectomy, and 17 patients underwent a scleral buckle procedure. Ophthalmological examinations, including best-corrected visual acuity, slit-lamp examination, fundus examination, and OCT, were performed before surgery and at 1, 1.5, 3, 6, and 12 months after surgery. Results: The foveal reattachment time was shorter after vitrectomy than after the buckle procedure (p＜0.05). Postoperative visual acuity was better when the height of the detached fovea, as viewed by OCT, was shorter, although foveal reattachment time was not related to visual prognosis. Conclusions: OCT may help to predict visual outcome and to assess macular changes in patients with macula-off retinal detachment after successful reattachment surgery. J Korean Ophthalmol Soc 2010;51(4):558-567

키워드

Foveal reattachment, Optical coherence tomography, Retinal detachment