황반박리를 동반한 열공성망막박리환자에서 공막돌륭술 후 시력결과에 미치는 수술전 요인 = Factors Affecting the Visual Outcome after Scleral Buckle in Rhegmatogenous Retinal Detachment Involving Macula

다국어 초록 (Multilingual Abstract)

Purpose: To investigate the factors affecting the visual outcome after a scleral buckle in a rhegmatogenous retinal detachment involving the macula. Methods: A retrospective survey of 70 eyes was carried out. The preoperative factors examined in this study included the preoperative visual acuity, the patient‘s age, the duration of macular detachment, the extent of the detached retina, the location of the retinal hole, and the surgical procedure. The correlation between these factors and the postoperative visual outcome were investigated. Results: The factors related to a favorable visual outcome were the preoperative visual acuity, age, the duration of macular detachment, surgical procedure, and the location of the retinal hole. A preoperative visual acuity of 0.1 or more, an age of 30 years or less, a detached retina of 2 quadrants or less, and duration of macular detachment of 7 days or less were factors that indicated a favorable visual outcome. The surgical procedure and the location of the retinal hole were not associated with the visual outcome. Conclusions: The factors related to a favorable visual outcome were a preoperative visual acuity of 0.2 or higher, an age of 30 or less, a detached retina of 2 quadrants or less, and duration of the macular detachment of 7 days or less. The location of the retinal hole, however, did not affect the visual outcome.

참고문헌 (Reference)

1 박종률, "열공성 망막박리에 대한 임상적 고찰" 대한안과학회 43 (43): 1015-1024, 2002

2 Grupposso SS, "Visual acuity following surgery for retinal detachment" 93 : 327-330, 1975

3 Isernhagen RD, "Visual acuity after the repair of pseudophakic retinal detachments involving the macula" 9 : 15-21, 1989

4 Mcpherson AR, "Visual acuity after surgery for retinal detachment with macular involvement" 14 : 639-645, 1982

5 Kreiger AE, "The results of retinal detachment surgery. Analysis of 268 operations with a broad scleral buckle" 86 : 385-394, 1971

6 Tani P, "Rhegmatogenous retinal detachment without macular involvement treated with scleral buckling" 90 : 503-508, 1980

7 Michael RG, "Retinal detachment, 2nd ed. Vol. 1" Mosby Co 937-944, 1990

8 Chignell AH, "Retinal detachment surgery without drainage of subretinal fluid" 77 : 1-5, 1974

9 Hilton GF, "Retinal Detachment. Ophthalmology Monographs 1, 5th ed" American Academy of Ophthalmology 7-35, 1989

10 Heinrich T, "Results of conventional detachment surgery. I. Study planning, patients and vision results" 200 : 454-456, 1992

11 Gundry MF, "Recovery of visual acuity after retinal detachment surgery" 77 : 310-314, 1974

12 Burton TC, "Recovery of visual acuity after retinal detachment involving the macula" 80 : 475-497, 1982

13 Kaufman PL, "Prognosis of primary rhegmatogenous retinal detachments. 2. Accounting for and predicting final visual acuity in surgically reattached cases" 54 : 61-74, 1976

14 Tani P, "Prognosis for central vision and anatomic reattachment in rhegmatogenous retinal detachment with macula detached" 92 : 611-620, 1981

15 Bartz-Schmidt KU, "Primary vitrectomy for pseudophakic retinal detachment" 80 : 346-349, 1996

16 Newman DK, "Primary vitrectomy for pseudophakic and aphakic retinal detachments" 13 : 635-639, 1999

17 Burton TC, "Preoperative factors influencing anatomic success rates following retinal detachment surgery. Trans Sect Ophthalmol" 83 : 499-505, 1977

18 Laatikainen L, "Post operative outcome in rhegmatogenous retinal detachment" 63 : 647-655, 1985

19 Lowe MA, "Pneumatic retinopexy; Surgical results" 106 : 1672-1676, 1988

20 Tornambe PE, "Pneumatic retinopexy: the evolution of case selection and surgical technique. A twelve-year study of 302 eyes" 95 : 551-578, 1997

21 Gartry DS, "Pars plana vitrectomy for the treatment of rhegmatogenous retinal detachment uncomplicated by advanced proliferative vitreoretinopathy" 77 : 199-203, 1993

22 Bonnet M, "Microscopy of retinal detachment" 5 : 111-114, 1981

23 Kusaka S, "Long-term visual recovery after scleral buckling for macula-off retinal detachments" 42 : 218-222, 1998

24 Foulds WS, "Factors influencing visual recovery after retinal detachment surgery" 12 : 49-53, 1974

25 Ahmadieh H, "Factors influencing anatomic and visual results in primary scleral buckling" 10 : 153-159, 2000

26 Han DP, "Comparision of pneumatic retinopexy and scleral buckling in the management of primary rhegmatogenous retinal detachment" 126 : 658-668, 1998

27 Woon WH, "Comparision of pars plana vitrectomy and scleral buckling for uncomplicated rhegmatogenous retinal detachment" 6 : 76-79, 1995

28 Kang IS, "Clinical study on rhegmatogenous retinal detachment treated with scleral buckle" 32 : 232-239, 1991

29 Park JM, "Clinical study on rhegmatogenous retinal detachment" 34 : 1154-1161, 1993

30 Jung SK, "Clinical study on rhegmatogenous retinal detachment" 33 : 589-598, 1992

31 Park BK, "Clinical study on retinal detachment" 22 : 787-797, 1981

32 Cowley M, "Clinical risk factors for proliferative vitreoretinopathy" 107 : 1147-1151, 1989

33 Jung H, "Clinical analysis of retinal detachment" 19 : 429-439, 1978

34 Laatikainen L, "Characteristics of rhegmatogenous retinal detachment" 63 : 146-154, 1985

35 Burton TC, "A predictive model for visual recovery following retinal detachment surgery" 85 : 619-625, 1978

36 Burton TC, "A predictive model for visual recovery following retinal detachment surgery" 85 : 619-625, 1978