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Japanese

The studies on the choice of surgical approach for complicated retinal detachment Yasuhiko Kobayashi 1 , Kazuki Arima 1 , Kayoko Ozawa 1 , Msaaki Nakagawa 1 , Hisako Ninomiya 1 , Yuji Inagaki 1 , Sakura Tsuchiya 1 , Minoru Tanaka 1 1Dept of Ophthalmol Urayasu Hosp of Juntendo Univ Sch of Med pp.307-310
Published Date 1991/3/15
DOI https://doi.org/10.11477/mf.1410908324
  • Abstract
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Investinaged whether vitreous surgery was supe-rior to conventional approach or not in terms of treatment of so-called complicated retinal detach-ment. The subjects were 34 cases in which it was difficult to make a choice of surgical approach as the first procedure. In order to determine the mode of operation, many factors such as size and locationof retinal break (s), grade of PVR, history of previous operation (s) and grade of vitreous trac-tion were studied.

The final success rate was 88% in cases treated by vitreous surgery. The rate of successful results was much lower in case operated by conventional approach. We conclude that conventional approach should be the first choice, while vitreous surgery is advantageous to get better visual outcome avoiding PVR in cases with deeper retinal breaks than vor-tex vein, and in those with PVR.


Copyright © 1991, 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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