망막박리 수술의 실패
Failure in Retinal Detachment Surgery
이진학, 최광우, 심완섭, 이재흥,
소속 상세정보
이진학 ( )
서울대학교 의과대학 안과학교실
최광우 ( )
서울대학교 의과대학 안과학교실
심완섭 ( )
서울대학교 의과대학 안과학교실
이재흥 ( )
서울대학교 의과대학 안과학교실
KMID : 0360219750160040389
Abstract
An anayris has been made of 86 eyes of retinal detachment treated surgically in our hospitat during the last 3yrs.
The final complete failure rate was 16. 6% (14 eyes), and the failure rate .in the first operation was 25.5% (24 eyes)
The preoperative factors that were found to be significant in leading to failure were young age, delay of surgery over 6 months, large extent of detachment, giant tear and fibrosis of vitreous or retina.
The failure rate in the first operation due to inadequate surgical techniques was 32%, and subretinal fluid drainage was not contributory to the failure rate.
It was noteworthy that 64% of failed cases were due to M.V.R.
Adnavces in knowledge of pathophysiology of vitreous in complicated retinal detachment and in technique of vitreous surgery may reduce the failure rate.
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