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망막박리 수술의 실패 Failure in Retinal Detachment Surgery

대한안과학회지 1975년 16권 4호 p.389 ~ 393
이진학, 최광우, 심완섭, 이재흥,
소속 상세정보
이진학 (  ) 
서울대학교 의과대학 안과학교실

최광우 (  ) 
서울대학교 의과대학 안과학교실
심완섭 (  ) 
서울대학교 의과대학 안과학교실
이재흥 (  ) 
서울대학교 의과대학 안과학교실

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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