A Comparative Study of Visual Outcomes following Primary Vitrectomy and Scleral Buckling Procedures to Manage Macular-off Rhegmatogenous Retinal Detachments.
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Accession number;99A0390126
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| Title;A Comparative Study of Visual Outcomes following Primary Vitrectomy and Scleral Buckling Procedures to Manage Macular-off Rhegmatogenous Retinal Detachments. |
| Author;
OSHIMA YUSUKE
(Osaka Rosai Hosp.)
EMI KAZUYUKI
(Osaka Rosai Hosp.)
MOTOKURA MASANOBU
(Osaka Rosai Hosp.)
YAMANISHI SHIGEKI
(Osaka Rosai Hosp.)
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Journal Title;Journal of Japanese Ophthalmological Society
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Journal Code:Z0666A
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ISSN:0029-0203
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VOL.103;NO.3;PAGE.215-222(1999)
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| Figure&Table&Reference;FIG.6, TBL.4, REF.22 |
| Pub. Country;Japan |
| Language;Japanese |
| Abstract;Purpose: To determine the difference between two types of retinal detachment surgery in postoperative visual recovery in the management of macular-off rhegmatogenous retinal detachment. Methods: We evaluated retrospectively the postoperative visual acuity(VA) in 37 patients who underwent primary vitrectomy(group V) and 39 patients treated with conventional scleral buckling(group S). Results: Although the mean preoperative VA in group V(0.03) was significantly worse(p=0.04) than that in group S(0.06), there was no statistically significant difference between the groups in postoperative VA throughout the follow-up period. However, in the cases with poor preoperative VA(VA<0.1), ocular hypotony(IOP<7mmHg), or prolonged macular detachment(duration>7 days), the visual recovery was significantly better(p<0.05) in group V than in group S from 1 month postoperatively. There were more eyes with a final VA of more than 0.5 in group V than in group S. When considering only the eyes with lenses spared intraoperatively, postoperative cataract progression resulting in secondary visual reduction was statistically significantly greater(p<0.01) in group V(62%) than in group S(8%). Conclusions: Primary vitrectomy is effective to attain early visual rehabilitation, especially to manage macula-off retinal detachments with poor preoperative VA, ocular hypotony, and prolonged macular detachment. To prevent a secondary visual reduction, cataract surgery combined with vitrectomy is recommended in selected cases. (author abst.) |
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