원발성열공망막박리 환자에서 단독유리체절제술과 수정체유화술 및 유리체절제술병합술의 결과 비교

• 영문명: Phacovitrectomy versus Vitrectomy only for Primary Rhegmatogenous Retinal Detachment Repair
• 발행기관: 대한안과학회
• 저자명: 구병영 사공민 장우혁,Byoung Young Gu, MD, Min Sagong, MD, Woo Hyok Chang, MD
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume52,number5, 537~543쪽, 전체 7쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2011.05.15

영문 초록

Purpose: To compare the outcomes of phacovitrectomy and vitrectomy only for treatment of primary rhegmatogenous retinal detachment. Methods: The anatomical success, functional success, and complications between Group I patients who underwent vitrectomy only and Group II patients who underwent phacovitrectomy for primary rhegmatogenous retinal detachment were retrospectively compared. Results: Twenty-one eyes (84.0%) in Group I had reattachment after vitrectomy only, and 27 eyes (90.0%) in Group II had reattachment after phacovitrectomy. However, the differences in the measures attributes were not statistically significant (p = 0.271). The logMAR visual acuity improved in both groups with no statistically significant difference between the two groups (p = 0.102). Postoperative complications included cataract progression in 20 eyes (80.0%) in Group I and 17 of the 20 eyes (68.0%) underwent cataract surgery within one year after the first surgery. Conclusions: Phacovitrectomy, irrespective of severe lens opacity, is a relatively effective combined surgical procedure in older patients with primary rhegmatogenous retinal detachment and impending presbyopia. The procedure allows for easy access to the periphery during vitreous shaving and prevents the need for a second cataract operation. J Korean Ophthalmol Soc 2011;52(5):537-543

키워드

Phacoemulsification, Phacovitrectomy, Rhegmatogenous retinal detachment, Vitrectomy