gms | German Medical Science

104th DOG Annual Meeting

21. - 24.09.2006, Berlin

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The clinical feature of macular pucker after retinal detachment surgery

Meeting Abstract

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  • Y. R. Choi - St. Mary Eye Hospital, Busan, Republic of Korea
  • S. A. Kim - St. Mary Eye Hospital, Busan, Republic of Korea
  • H. S. Yoon - St. Mary Eye Hospital, Busan, Republic of Korea

Deutsche Ophthalmologische Gesellschaft e.V.. 104. Jahrestagung der Deutschen Ophthalmologischen Gesellschaft (DOG). Berlin, 21.-24.09.2006. Düsseldorf, Köln: German Medical Science; 2006. Doc06dogP158

The electronic version of this article is the complete one and can be found online at: http://www.egms.de/en/meetings/dog2006/06dog680.shtml

Published: September 18, 2006

© 2006 Choi et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.en). You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.

Outline

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.