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Changing Trends in Surgery for Retinal Detachment in Korea
조가은,김성욱,강세웅,Korean Retina Society 대한안과학회 2014 Korean Journal of Ophthalmology Vol.28 No.6
Purpose: To analyze trends in rhegmatogenous retinal detachment (RRD) surgery among the members of theKorean Retina Society from 2001 to 2013. Methods: In 2013, surveys were conducted by email and post to investigate the current practice patterns regardingRRD treatment. Questions included how surgeons would manage six cases of hypothetical RRD. Resultswere compared to those reported in 2001. Results: A total of 133 members (60.7%) in 2013 and 46 members(79.3%) in 2001 responded to the survey. Preference for pneumatic retinopexy has decreased in uncomplicated primary RRD (p = 0.004). More respondentsin 2013 selected vitrectomy as the primary procedure when mild vitreous hemorrhage (p = 0.001),myopia (p = 0.044) and history of successful scleral buckling on the fellow eye (p = 0.044) were added to theprimary scenario. Vitrectomy was over twice as popular in cases of pseudophakic, macula-off RRD with posteriorcapsular opacity (p = 0.001). Conclusions: For RRD with myopia, pseudophakia and media opacity, surgical interventions over the last decadehave drastically shifted from scleral buckling and pneumatic retinopexy to vitrectomy.
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