Artikel
The clinical feature of macular pucker after retinal detachment surgery
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Autoren
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Y. R. Choi
- St. Mary Eye Hospital, Busan, Republic of Korea
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S. A. Kim
- St. Mary Eye Hospital, Busan, Republic of Korea
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H. S. Yoon
- St. Mary Eye Hospital, Busan, Republic of Korea
| Veröffentlicht: | 18. September 2006 |
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Gliederung
Text
Objective
To evaluate the clinical outcome of vitrectomy on postsurgical macular pucker in rhegmatogenous retinal detachment.
Methods
We retrospectively reviewed the records of 320 eyes who underwent retinal detachment surgery between 2001 and 2004. Postoperatively, 14 eyes (4.38%) developed macular pucker during follow-up period and were treated by vitrectomy.
Results
Patient age ranged from 30 to 77 (mean : 55.3). The mean time interval between primary retinal reattachment surgery and vitrectomy for macular pucker was 184 days (50-546 days). Retinal breaks were present in the superior half of the fundus in 12 eyes and inferior in 2 eyes. As for the number of breaks, only one break was found in 9 eyes, two breaks in 2 eyes, three breaks in 2 eyes and no break in 1 eye. Vitreous hemorrhages were present in 9 eyes (64.3%). Macular puckers occurred in 12 phakic eyes and 2 pseudophakic eyes. Nine eyes (64.3%) had retinal detachment involving macula. Reattachment surgeries were vitrectomy, scleral buckling, endolaser and pneumoretinopexy in 8 eyes (57%) and scleral buckling with cryoretinopexy in 6 eyes (43%). Mean visual acuity was logMAR1.31 preoperatively and logMAR0.45 postoperatively.
Conclusions
Preoperative vitreous hemorrhage, superior location of retinal break and old age were found to be significant for the postoperative development of macular pucker. Postoperative visual acuity increased in all cases.
