Vergleichende Untersuchung zur Chirurgie der rhegmatogenen Netzhautablösung mit Plombenoperation oder der Pars ? Plana ? Vitrektomie
Es wurden retrospektiv 1056 konsekutive Fälle von rhegmatogenen Netzhautablösungen aus den Jahren 1989 bis 1997 untersucht, die an der Universitäts- Augenklinik Marburg mittels primärer Vitrektomie (PPV) oder einer episkleralen Plombenoperation behandelt wurden. Es konnte eine komple...
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| Format: | Doctoral Thesis |
| Language: | German |
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Philipps-Universität Marburg
2003
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| Online Access: | PDF Full Text |
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The data of 1056 eyes with primary retinal detachment who undergone pars plana vitrectomy or scleral buckling between 1989 and 1997, were retrospectively reviewed. We analyzed the retinal reattachment rate, postoperative visual acuity, occurence of complications and postoperative proliferative vitreoretinopathy. The primary retinal reattachment rate was 76%. After 0.7 reoperations in the scleral buckling group and 1.2 reoperations in the vitrectomy group an overall success rate of 90.9% was achieved. After the scleral buckling procedure, 85.5% of the operated eyes had a constant or improved visual acuity, after vitrectomy the rate of constant or better vision was 83.7%. We found no significant difference for the occurrence of choroidal detachment, postoperative proliferative vitreoretinopathy or scleral perforation in the two groups. There were more retinal bleeding in the pars- plana- vitrectomy group, while eyes after an encircling band suffered more often from a persistent retinal detachment. From the phakic eyes who underwent vitrectomy, 73% developed cataract formation.The data of 1056 eyes with primary retinal detachment who undergone pars plana vitrectomy or scleral buckling between 1989 and 1997, were retrospectively reviewed. We analyzed the retinal reattachment rate, postoperative visual acuity, occurence of complications and postoperative proliferative vitreoretinopathy. The primary retinal reattachment rate was 76%. After 0.7 reoperations in the scleral buckling group and 1.2 reoperations in the vitrectomy group an overall success rate of 90.9% was achieved. After the scleral buckling procedure, 85.5% of the operated eyes had a constant or improved visual acuity, after vitrectomy the rate of constant or better vision was 83.7%. We found no significant difference for the occurrence of choroidal detachment, postoperative proliferative vitreoretinopathy or scleral perforation in the two groups. There were more retinal bleeding in the pars- plana- vitrectomy group, while eyes after an encircling band suffered more often from a persistent retinal detachment. From the phakic eyes who underwent vitrectomy, 73% developed cataract formation.