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Outcome of scleral buckling and cataract surgery for atopic retinal detachment Mika Hoshide 1 , Susumu Ishida 1 , Kei Shinoda 1 , Shinichi Kawashima 1 , Hiroshi Katsura 2 1Dept of Ophthalmol, Keio Univ Sch of Med 2Dept of Ophthalmol, Tachikawa Hosp, KKR pp.1308-1311
Published Date 1999/6/15
DOI https://doi.org/10.11477/mf.1410906441
  • Abstract
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We reviewed 15 eyes of atopic retinal detachment treated by scleral buckling and cataract surgery as the initial procedure. Cases with breaks in the pars plicata, giant tear or proliferative vitreoretinopathy (PVR) were excluded. Cataract surgery was performed by translimbal lensectomy with anterior vitrectomy 3 eyes, lens aspiration 6 eyes and intraocular lens (IOL) implantation 6 eyes. The retina became reattached in 12 eyes (80%) after the initial procedure and in 14 eyes (93%) finally. Retinal detachment recurred after the initial surgery in 7 eyes, including lensectomy with anterior vitrectomy 2 eyes (67%) , lens aspiration 3 eyes (50%) and IOL implantation 2 eyes (33%) . Retinal redetachment was due to new breaks 5 eyes and PVR 2 eyes. New breaks were located in the pars plicata following lens aspiration 1 eye, pars plana 3 eyes and equatorial retina 1 eye. There was no difference in the surgical outcome regarding the type of cataract surgery. The findings show that IOL implantation is indicated as adjunct to surgery for atopic retinal detachment.


Copyright © 1999, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1308 印刷版ISSN 0370-5579 医学書院

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