Surgical outcomes in rhegmatogenous retinal detachment at Srinagarind Hospital.

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dc.contributor.authorYospaiboon, Yosananen_US
dc.contributor.authorSanguansak, Thussen_US
dc.contributor.authorRatanapakom, Tanapaten_US
dc.contributor.authorSinawat, Suthasineeen_US
dc.date.accessioned2009-05-27T18:45:42Z
dc.date.available2009-05-27T18:45:42Z
dc.date.issued2005-11-10en_US
dc.descriptionChotmaihet Thangphaet.en_US
dc.description.abstractOBJECTIVES: To evaluate the surgical outcome for patients with rhegmatogenous retinal detachment and to find out the factors influencing the anatomic reattachment and visual results. MATERIAL AND METHOD: Retrospective review of the medical records of patients for the following details: age, sex, time to diagnosis, time to surgery, phakic status, types, numbers and locations of the retinal breaks, macular status, presence of proliferative vitreoretinopathy (PVR), types of surgical procedures, anatomic reattachment and visual improvement. RESULTS: Two hundred and twelve patients were surgically treated by pneumatic retinopexy, scleral buckling, pars plana vitrectomy or combined procedures. Initial anatomic reattachment was found in 157 cases (74.06%) and final reattachment in 193 cases (91.04%). Several factors including age, phakic status, number of the retinal breaks, macular detachment, PVR and types of surgical procedures have been identified to have a correlation with the anatomic success rate. Types of surgical procedures and time to surgery within 8 weeks of detachment have also been demonstrated to have a correlation with final visual improvement. However, only types of surgical procedures had statistically significant difference. Pneumatic retinopexy had a lower anatomic reattachment rate, but obtained a higher visual improvement than did other surgical procedures. Moreover, after repeated pneumatic retinopexy or further surgical procedures, the final anatomic success rate improved from 65.52% to 92.24%. CONCLUSION: Surgical outcomes for rhegmatogenous retinal detachment are comparable to other studies. Types of surgical procedures had a significant correlation with anatomic reattachment and final visual improvement.en_US
dc.description.affiliationDepartment of Ophthalmology, Faculty of Medicine, Khon Kaen University, Khon Kaen 40002, Thailand. yosanan@kku.ac.then_US
dc.identifier.citationYospaiboon Y, Sanguansak T, Ratanapakom T, Sinawat S. Surgical outcomes in rhegmatogenous retinal detachment at Srinagarind Hospital. Journal of the Medical Association of Thailand. 2005 Nov; 88 Suppl 9(): S69-76en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/39796
dc.language.isoengen_US
dc.source.urihttps://www.mat.or.th/journal/all.phpen_US
dc.subject.meshAdulten_US
dc.subject.meshAge Factorsen_US
dc.subject.meshFemaleen_US
dc.subject.meshFollow-Up Studiesen_US
dc.subject.meshHospitals, Universityen_US
dc.subject.meshHumansen_US
dc.subject.meshMaleen_US
dc.subject.meshMiddle Ageden_US
dc.subject.meshPostoperative Complications --epidemiologyen_US
dc.subject.meshProbabilityen_US
dc.subject.meshRetinal Detachment --pathologyen_US
dc.subject.meshRetrospective Studiesen_US
dc.subject.meshRisk Assessmenten_US
dc.subject.meshScleral Buckling --methodsen_US
dc.subject.meshSex Factorsen_US
dc.subject.meshThailanden_US
dc.subject.meshTreatment Outcomeen_US
dc.subject.meshVisual Acuityen_US
dc.subject.meshVitrectomy --methodsen_US
dc.titleSurgical outcomes in rhegmatogenous retinal detachment at Srinagarind Hospital.en_US
dc.typeComparative Studyen_US
dc.typeJournal Articleen_US
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