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要約 目的:裂孔原性網膜剝離に対する初回手術としての硝子体手術と強膜バックルの成績の比較。対象と方法:2013年までの5年間に裂孔原性網膜剝離に対して手術を行った55例55眼を対象とした。35例には硝子体手術,20例には強膜バックルを行った。結果:初回復位は,硝子体手術群では27眼(77%),強膜バックル群では17眼(85%)で得られ,最終的には全例が復位した。硝子体手術を行った症例には,網膜全剝離,大きな裂孔,多発裂孔,増殖硝子体網膜症B以上が多かった。強膜バックルを行った症例には,小さな裂孔と網膜剝離の範囲が1象限程度であるものが多かった。結論:裂孔原性網膜剝離に対する初回手術では,術式の選択が復位率を高くするためには必要である。
Abstract. Purpose:To report and compare the outcome of vitreous surgery and scleral buckling as the primary procedure for rhegmatogenous retinal detachment. Objects and Method:This retrospective study was performed on 55 eyes of 55 cases of rhegmatogenous retinal detachment who received surgery at the Yonezawa City Hospital during 5 years through 2013. Vitreous surgery was performed on 35 eyes and scleral buckling on 20 eyes. Results:The retina became reattached after the initial procedure in 27 eyes(77%)after vitreous surgery and in 17 eyes(85%)after scleral buckling. All the eyes showed reattachment after multiple procedures. Eyes that received vitreous surgery included total retinal detachment, giant tear, multiple tears, or proliferative vitreoretinopathy with grade B or greater. Eyes that received scleral buckling included small tear and retinal detachment involving less than one quadrant. Conclusion:Proper selection of surgical procedure is essential to achieve higher rate of success in rhegmatogenous retinal detachment.
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