Changing Trends in Surgery for Retinal Detachment in Korea
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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.
Abstract
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.
참고문헌 (18)
- Schwartz SG, "Primary retinal detachment:scleral buckle or pars plana vitrectomy?", Curr Opin Ophthalmol, 17, pp.245~250 (2006)
- Escoffery RF, "Vitrectomy without scleral buckling for primary rhegmatogenous retinal detachment", Am J Ophthalmol, 99, pp.275~281 (1985)
- Campo RV, "Pars plana vitrectomy without scleral buckle for pseudophakic retinal detachments", Ophthalmology, 106, pp.1811~1815 (1999)
- Gartry DS, "Pars plana vitrectomy for the treatment of rhegmatogenous retinal detachment uncomplicated by advanced proliferative vitreoretinopathy", Br J Ophthalmol, 77, pp.199~203 (1993)
- Azad RV, "Primary vitrectomy versus conventional retinal detachment surgery in phakic rhegmatogenous retinal detachment", Acta Ophthalmol Scand, 85, pp.540~545 (2007)
- Heimann H, "Scleral buckling versus primary vitrectomy in rhegmatogenous retinal detachment: a prospective randomized multicenter clinical study", Ophthalmology, 114, pp.2142~2154 (2007)
- Ahmadieh H, "Anatomic and visual outcomes of scleral buckling versus primary vitrectomy in pseudophakic and aphakic retinal detachment: sixmonth follow-up results of a single operation: report no. 1", Ophthalmology, 112, pp.1421~1429 (2005)
- Brazitikos PD, "Primary pars plana vitrectomy versus scleral buckle surgery for the treatment of pseudophakic retinal detachment: a randomized clinical trial", Retina, 25, pp.957~964 (2005)
- Snyder WB, "Pneumatic retinopexy versus scleral buckle: preferences of Vitreous Society members, 1990", Retina, 12, pp.43~45 (1990)
- Benson WE, "Current popularity of pneumatic retinopexy", Retina, 19, pp.238~241 (1999)
- 강세웅, "단순열공망막박리의 수술법에 대한 선호도", 대한안과학회지, 43(7), pp.11~1185 (2002), 대한안과학회
- Minihan M, "Primary rhegmatogenous retinal detachment: 20 years of change", Br J Ophthalmol, 85, pp.546~548 (2001)
- Falkner-Radler CI, "Trends in primary retinal detachment surgery: results of a Bicenter study", Retina, 31, pp.928~936 (2011)
- Tornambe PE, "Pneumatic retinopexy: the evolution of case selection and surgical technique: a twelve-year study of 302eyes", Trans Am Ophthalmol Soc, 95, pp.551~578 (1997)
- Hilton GF, "Results of a temporary balloon buckle in the treatment of 500 retinal detachments and a comparison with pneumatic retinopexy", Am J Ophthalmol, 108, pp.612~614 (1989)
- Zaidi AA, "Pneumatic retinopexy:success rate and complications", Br J Ophthalmol, 90, pp.427~428 (2006)
- Chan CK, "Pneumatic retinopexy for the repair of retinal detachments: a comprehensive review (1986-2007)", Surv Ophthalmol, 53, pp.443~478 (2008)
- Day S, "One-year outcomes after retinal detachment surgery among medicare beneficiaries", Am J Ophthalmol, 150, pp.338~345 (2010)