1. Slobodanka Latinović Slobodanka Latinović, Serbia
Purpose: To analyze the major surgical techniques of repairing primary retinal detachment (PRD) - pneumatic retinopexy, scleral buckling and vitrectomy in the different aspects of morbidity and applicability.
Matherial and method: Lifetime prediction of annual incidence of PRD in elderly population and RD after cataract sugery was calculated and compared with total number of vitreal-retino surgeries performed 2009 in Serbia to understand surgical capabilitiesand our needs. The outcomes of consecutive 168 cases of RD treated with pneumatic retinopexy, scleral buckling and primary vitrectomy were analyzed.
Results: Calculated predicted Incidence of PRD was 780 cases annually in Serbia. From the total of 1712 of vitreoretinal surgical procedures performed in 2009, only 407 (24%) were extraocular surgical procedures for PRD. From 168 cases of PRD incuded in outcome study 45 % (75 eyes) were treated with two steps pneumatic retinopexy, 33% (58 eyes ) with scleral buckling and 21% (35eyes) with primary vitrectomy. Single treatment with pneumatic retinopexy reattached retina in 84%,scleral buckling in 85 % and primary vitrectomy in 86% of our cases with visual outcome not significantly different beetwen procedures.
Conclusion: Based on the recent available data for retinal detachment surgery, the anatomic reattachment ranged between 65 % and 99% as our study shows. Objective of each technique is closing the retinal break, but the approach can be either extraocular with scleral buckling or intraocular with pneumatic retinopexy or vitrectomy. The choice of surgical technique depends on various factors, including patient compliance, experience and capability of surgeons, cost of surgery and availability of appropriate instrumentation.
Tematska oblast:
vitreoretinalna hirurgija
Uvodni rad:
Da
Datum:
26.04.2012.
Br. otvaranja:
545
