The Efficacy of Fluid-Gas Exchange for the Treatment of Postvitrectomy Retinal Detachment
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Purpose: This study was designed to evaluate the efficacy of fluid-gas exchange for the treatment of postvitrectomy retinal detachment. Methods: We retrospectively reviewed the records of 33 consecutive patients (35 eyes) who underwent fluid-gas exchange treatment for postvitrectomy retinal detachment using the two-needle pars plana approach technique. Results: The retinal reattachment rate was 80.0% after complete intravitreal gas disappearance following the fluid-gas exchange; the overall success rate was 65.7%. Visual acuity was improved or stable in 80.0% of cases; a two-line or greater vision improvement or a best-corrected visual acuity of 0.4 or better occurred in 62.9% of cases. The success rates for superior retinal detachments and posterior pole retinal detachments were 76.5% and 85.7%, respectively. Conclusions: Fluid-gas exchange represents a simple and cost-effective alternative outpatient procedure for retinal reattachment without reoperation for the treatment of superior and posterior pole retinal detachments.
Abstract
Purpose: This study was designed to evaluate the efficacy of fluid-gas exchange for the treatment of postvitrectomy retinal detachment. Methods: We retrospectively reviewed the records of 33 consecutive patients (35 eyes) who underwent fluid-gas exchange treatment for postvitrectomy retinal detachment using the two-needle pars plana approach technique. Results: The retinal reattachment rate was 80.0% after complete intravitreal gas disappearance following the fluid-gas exchange; the overall success rate was 65.7%. Visual acuity was improved or stable in 80.0% of cases; a two-line or greater vision improvement or a best-corrected visual acuity of 0.4 or better occurred in 62.9% of cases. The success rates for superior retinal detachments and posterior pole retinal detachments were 76.5% and 85.7%, respectively. Conclusions: Fluid-gas exchange represents a simple and cost-effective alternative outpatient procedure for retinal reattachment without reoperation for the treatment of superior and posterior pole retinal detachments.
참고문헌 (18)
- Machemer R, "Vitrectomy: a pars plana approach", Trans Am Acad Ophthalmol Otolaryngol, 75, pp.813~816 (1971)
- Machemer R, "A new concept for vitreous surgery. 2. Surgical technique and complication", Am J Ophthalmol, 74, pp.1022~1033 (1972)
- Custodis E, "Scleral buckling without excision and with polyviol implant Importance of Vitreous Body in Retina Surgery with Special Emphasis on Reoperations", pp.175~182 (1960), Mosby
- Heimann H, "Primary vitrectomy in rhegmatogenous retinal detachment" (2006), Mosby
- Landers MB III, "Slit-lamp fluid- gas exchange and other office procedures following vitreoretinal surgery", Arch Ophthalmol, 103, pp.967~972 (1985)
- Kleiner RC, "A new device for performing fluid-gas exchange", Arch Ophthalmol, 106, pp.421~422 (1988)
- Miller JA, "A modified technique for performing outpatient fluid-air exchange following vitrectomy surgery", Am J Ophthalmol, 101, pp.116~117 (1986)
- Blumenkranz M, "Fluid-gas exchange and photocoagulation after vitrectomy: indications, technique, and results", Arch Ophthalmol, 104, pp.291~296 (1986)
- Gonin J, "Treatment of detached retina by searing the retinal tears", Arch Ophthalmol, 4, pp.621~625 (1930)
- Rosengren B, "Results of treatment of detachment of the retina with diathermy and injection of air into the vitreous", Acta Ophtahlmol, 16, pp.573~579 (1938)
- Shea M, "Cryosurgery of vitreous and retina", Int Ophthalmol Clin, 7, pp.3~18 (1967)
- Martin DF, "Efficacy of fluid-air exchange for postvitrectomy diabetic vitreous hemorrhage", Am J Ophthalmol, 114, pp.457~463 (1992)
- 한남수, "열공망막박리에서 일차유리체절제술의 결과", 대한안과학회지, 47(1), pp.55~61 (2006), 대한안과학회
- 박형준, "단순망막박리에 있어 수술방법에 따른 임상분석", 대한안과학회지, 42(9), pp.1277~1283 (2001), 대한안과학회
- 박종률, "열공성 망막박리에 대한 임상적 고찰", 대한안과학회지, 43(6), pp.12~1024 (2002), 대한안과학회
- Chang S, "Intraocular gases" (2006), Mosby
- Han DP, "Outpatient fluid-air exchange for severe postvitrectomy diabetic vitreous hemorrhage", Retina, pp.309~314 (1991)
- Lambrou FH, "Fluid-gas exchange after vitrectomy using long-acting gases in an outpatient setting", Arch ophthalmol, 106, pp.1344~ (1988)