Surgical Outcomes for Primary Rhegmatogenous Retinal Detachments in Patients with Pseudophakia after Phacoemulsification
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Purpose: To evaluate the clinical features and surgical outcomes for primary rhegmatogenous retinal detachments (RDs) in patients with pseudophakia after phacoemulsification. Methods: The medical records of patients with pseudophakia after phacoemulsification and intraocular lens implantation who had undergone surgery for primary rhegmatogenous RDs with a minimum duration of follow-up of 12 months were reviewed retrospectively. Results: A total of 104 patients were enrolled in this study and 106 eyes were analyzed. Post-operative retinal attachment was achieved in 87 of the eyes (82.1%) and the final visual acuities (logarithm of the minimum angle of resolution) were improved to 0.65 ± 0.49 from the baseline measurement of 1.51 ± 1.14 (p < 0.001). Re-operations were performed in 24 of the eyes (22.6%) and there were no visible retinal breaks in 30 of the eyes (28.3%). The failure to identify a retinal break during surgery was associated with a lower rate of retinal reattachment,worse final visual acuity, and a higher rate of re-operation (p = 0.002, p = 0.02, and p = 0.002, respectively). The location of the identified retinal break was more common in the superotemporal quadrant than in the other quadrants. Conclusions: The inability to identify a retinal break during surgery was associated with a poor final outcome. Other factors were less important for the functional and anatomic success in patients with pseudophakic RDs.
Abstract
Purpose: To evaluate the clinical features and surgical outcomes for primary rhegmatogenous retinal detachments (RDs) in patients with pseudophakia after phacoemulsification. Methods: The medical records of patients with pseudophakia after phacoemulsification and intraocular lens implantation who had undergone surgery for primary rhegmatogenous RDs with a minimum duration of follow-up of 12 months were reviewed retrospectively. Results: A total of 104 patients were enrolled in this study and 106 eyes were analyzed. Post-operative retinal attachment was achieved in 87 of the eyes (82.1%) and the final visual acuities (logarithm of the minimum angle of resolution) were improved to 0.65 ± 0.49 from the baseline measurement of 1.51 ± 1.14 (p < 0.001). Re-operations were performed in 24 of the eyes (22.6%) and there were no visible retinal breaks in 30 of the eyes (28.3%). The failure to identify a retinal break during surgery was associated with a lower rate of retinal reattachment,worse final visual acuity, and a higher rate of re-operation (p = 0.002, p = 0.02, and p = 0.002, respectively). The location of the identified retinal break was more common in the superotemporal quadrant than in the other quadrants. Conclusions: The inability to identify a retinal break during surgery was associated with a poor final outcome. Other factors were less important for the functional and anatomic success in patients with pseudophakic RDs.
참고문헌 (42)
- Baratz KH, "Cataract extraction rates in Olmsted County,Minnesota,1980 through 1994", Arch Ophthalmol, 115, pp.1441~1446 (1997)
- Ah-Fat FG, "Trends in vitreoretinal surgery at a tertiary referral centre:1987 to 1996", Br J Ophthalmol, 83, pp.396~398 (1999)
- Minihan M, "Primary rhegmatogenous retinal detachment:20 years of change", Br J Ophthalmol, 85, pp.546~548 (2001)
- Ashwin PT, "Advances in cataract surgery", Clin Exp Optom, 92, pp.333~342 (2009)
- Georgr AW, "Techniques of sclera buckling. In Retina. 4th ed", pp.2066~2067 (2005), Mosby
- "The classification of retinal detachment with proliferative vitreoretinopathy", Ophthalmology, 90, pp.121~125 (1983)
- Speicher MA, "Primary vitrectomy alone for repair of retinal detachments following cataract surgery", Retina, 20, pp.459~464 (2000)
- Wilkinson CP, "Pseudophakic retinal detachments", Retina, 5, pp.1~4 (1985)
- Greven CM, "Pseudophakic retinal detachments.Anatomic and visual results", Ophthalmology, 99, pp.257~262 (1992)
- Wilkinson CP, "Retinal detachments following intraocular lens implantation", Ophthalmology, 88, pp.410~413 (1981)
- Hagler WS, "Pseudophakic retinal detachment", Trans Am Ophthalmol Soc, 80, pp.45~63 (1982)
- Girard P, "Pseudophakic retinal detachment:anatomic and visual results", Graefes Arch Clin Exp Ophthalmol, 233, pp.324~330 (1995)
- Pastor JC, "Surgical outcomes for primary rhegmatogenous retinal detachments in phakic and pseudophakic patients:the Retina 1 Project--report 2", Br J Ophthalmol, 92, pp.378~382 (2008)
- Grizzard WS, "Scleral buckling for retinal detachments complicated by periretinal proliferation", Arch Ophthalmol, 100, pp.419~422 (1982)
- Cousins S, "Pseudophakic retinal detachments in the presence of various IOL types", Ophthalmology, 93, pp.1198~1208 (1986)
- McHugh D, "Pseudophakic retinal detachment", Graefes Arch Clin Exp Ophthalmol, 229, pp.521~525 (1991)
- Bradford JD, "Pseudophakic retinal detachments.The relationships between retinal tears and the time following cataract surgery at which they occur", Retina, 9, pp.181~186 (1989)
- Griffith RD, "Primary retinal detachments without apparent breaks", Am J Ophthalmol, 81, pp.420~427 (1976)
- Wong D, "Pars plana vitrectomy for retinal detachment with unseen retinal holes", Graefes Arch Clin Exp Ophthalmol, 225, pp.269~271 (1987)
- Rosen PH, "Indentation microsurgery: internal searching for retinal breaks", Eye, 3(Pt 3), pp.277~281 (1989)
- Friberg TR, "Streaks(schlieren)as a sign of rhegmatogenous detachment in vitreous surgery", Am J Ophthalmol, 88, pp.943~944 (1979)
- Desai UR, "Combined pars plana vitrectomy and scleral buckling for pseudophakic and aphakic retinal detachments in which a break is not seen preoperatively", Ophthalmic Surg Lasers, 28, pp.718~722 (1997)
- Devenyi RG, "Combined scleral buckle and pars plana vitrectomy as a primary procedure for pseudophakic retinal detachments", Ophthalmic Surg Lasers, 30, pp.615~618 (1999)
- Brazitikos PD, "Primary vitrectomy with perfluoro-n-octane use in the treatment of pseudophakic retinal detachment with undetected retinal breaks", Retina, 19, pp.103~109 (1999)
- Tewari HK, "Comparison of scleral buckling with combined scleral buckling and pars plana vitrectomy in the management of rhegmatogenous retinal detachment with unseen retinal breaks", Clin Experiment Ophthalmol, 31, pp.403~407 (2003)
- Salicone A, "Management of retinal detachment when no break is found", Ophthalmology, 113, pp.398~403 (2006)
- Lois N, "Pseudophakic retinal detachment", Surv Ophthalmol, 48, pp.467~487 (2003)
- Herrmann WA, "Cataract surgery.Effect on the posterior segment of the eye", Ophthalmologe, 107, pp.975~984 (2010)
- Sebag J, "Anomalous posterior vitreous detachment:a unifying concept in vitreo-retinal disease", Graefes Arch Clin Exp Ophthalmol, 242, pp.690~698 (2004)
- Coonan P, "The incidence of retinal detachment following extracapsular cataract extraction.A ten-year study", Ophthalmology, 92, pp.1096~1101 (1985)
- Mirshahi A, "Incidence of posterior vitreous detachment after cataract surgery", J Cataract Refract Surg, 35, pp.987~991 (2009)
- Ross WH, "Visual recovery after retinal detachment", Curr Opin Ophthalmol, 11, pp.191~194 (2000)
- Liu F, "Visual recovery after scleral buckling surgery in macula-off rhegmatogenous retinal detachment", Ophthalmologica, 220, pp.174~180 (2006)
- La Heij EC, "Results of scleral buckling operations in primary rhegmatogenous retinal detachment", Doc Ophthalmol, 100, pp.17~25 (2000)
- Pastor JC, "Proliferative vitreoretinopathy:risk factors and pathobiology", Prog Retin Eye Res, 21, pp.127~144 (2002)
- Kusaka S, "Long-term visual recovery after scleral buckling for macula-off retinal detachments", Jpn J Ophthalmol, 42, pp.218~222 (1998)
- Abouzeid H, "Macular recovery after retinal detachment", Acta Ophthalmol Scand, 84, pp.597~605 (2006)
- Tielsch JM, "Risk factors for retinal detachment after cataract surgery.A population-based case-control study", Ophthalmology, 103, pp.1537~1545 (1996)
- Campo RV, "Pars plana vitrectomy without scleral buckle for pseudophakic retinal detachments", Ophthalmology, 106, pp.1811~1815 (1999)
- Oshima Y, "Two-year follow-up study comparing primary vitrectomy with scleral buckling for macula-off rhegmatogenous retinal detachment", Jpn J Ophthalmol, 44, pp.538~549 (2000)
- 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)
- Mendrinos E, "Primary vitrectomy without scleral buckling for pseudophakic rhegmatogenous retinal detachment", Am J Ophthalmol, 145, pp.1063~1070 (2008)