Abstract | PURPOSE: METHODS: We evaluated retrospectively the postoperative visual acuity (VA) in 37 patients who underwent primary vitrectomy (group V) and 39 patients treated with conventional scleral buckling (group S). RESULTS: Although the mean preoperative VA in group V (0.03) was significantly worse (p = 0.04) than that in group S (0.06), there was no statistically significant difference between the groups in postoperative VA throughout the follow-up period. However, in the cases with poor preoperative VA (VA < 0.1), ocular hypotony (IOP < 7 mmHg), or prolonged macular detachment (duration > 7 days), the visual recovery was significantly better (p < 0.05) in group V than in group S from 1 month postoperatively. There were more eyes with a final VA of more than 0.5 in group V than in group S. When considering only the eyes with lenses spared intraoperatively, postoperative cataract progression resulting in secondary visual reduction was statistically significantly greater (p < 0.01) in group V (62%) than in group S (8%). CONCLUSIONS: Primary vitrectomy is effective to attain early visual rehabilitation, especially to manage macula-off retinal detachments with poor preoperative VA, ocular hypotony, and prolonged macular detachment. To prevent a secondary visual reduction, cataract surgery combined with vitrectomy is recommended in selected cases.
|
Authors | Y Oshima, K Emi, M Motokura, S Yamanishi |
Journal | Nippon Ganka Gakkai zasshi
(Nippon Ganka Gakkai Zasshi)
Vol. 103
Issue 3
Pg. 215-22
(Mar 1999)
ISSN: 0029-0203 [Print] Japan |
PMID | 10214056
(Publication Type: Clinical Trial, Comparative Study, English Abstract, Journal Article)
|
Topics |
- Adult
- Aged
- Aged, 80 and over
- Cataract Extraction
- Female
- Humans
- Male
- Middle Aged
- Retinal Detachment
(surgery)
- Retrospective Studies
- Scleral Buckling
- Treatment Outcome
- Visual Acuity
- Vitrectomy
|