Analyse der Operations-Verfahren bei Reablatio retinae ohne Proliferative Vitreoretinopathie nach primärer Buckelchirurgie - pars-plana-Vitrektomie versus Buckelrevision-

Analyse der Operations-Verfahren bei Reablatio retinae ohne Proliferative Vitreoretinopathie nach primärer Buckelchirurgie - pars-plana-Vitrektomie versus Buckelrevision-

Analysis of the different operative treatments of a retinal redetachment without PVR after primary buckle-surgery; pars-plana-vitrectomy versus buckle-surgery

Schwarz, Wiebke

Dissertation

Angenommen am: 2013-11-26

Erschienen: 2013-11-13

Betreuer: Hoerauf, Hans Prof. Dr.

Gutachter: Rödel, Ralph Prof. Dr.

Gutachter: Oppermann, Martin Prof. Dr.

Zum Verlinken/Zitieren: http://hdl.handle.net/11858/00-1735-0000-0001-BC48-C

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Zusammenfassung

Englisch

We retrospectively analyzed 79 eyes, which developed a rhegmathogenous retinal redetachment without PVR after primary buckle-surgery during the years 1994 – 2006, which were treated at the eye clinic of the University of Göttingen with a pars-plana-vitrectomy, a buckle-surgery or a combination of these two options. All treated eyes were divided into three groups dependent on the chosen type of operation (group I = pars-plana-vitrectomy, group II = buckle-surgery, group III = combination of the two options). The retina was reattached in 88, 1% of the cases (37/42), which were treated by a pars-plana-vitrectomy, in 89, 7% of the cases (26/29), which were treated by buckle surgery and in 100% of the cases (8/8), which were treated by a combination of the two operations. In all groups an improvement of the vision were achieved. Regarding the eyes with a preoperatively attached macular the groups showed no significant difference. In due consideration of the eyes with a detached macular, the improvement of the vision was significant higher in the vitrectomy-group. There was no significant difference in the development of operative complications. In the vitrectomy-group there was a significant higher rate of cataract-operations during the postoperative time compared to the buckle-group. Also the group which was treated with a combination of these two operations showed a higher cataract rate after surgery compared to the buckle-group. But the difference was not significant. There was a significant higher rate of a postoperative increased intraocular pressure in the pars-plana-vitrectomy-group and the combined-operation-group compared to the buckle-group. The change of refraction was significant higher in group II and III compared to group I.

Keywords: retinal redetachment