Surgical Outcomes in Rhegmatogenous Retinal Detachment at Chiangraiprachanukroh Hospital
Keywords:
rhegmatogenous retinal detachment, surgical outcome, retinal reattachment, visual outcomeAbstract
Rhegmatogenous retinal detachment (RRD) is the most common type of retinal detachment. If not treated quickly and properly , the rate of blindness is nearly 100 percent. Success rate of treatment will depend on factors such as the patients , retinal lesions , surgical techniques and health service system
Objective: The aim was to evaluate the surgical outcomes of patients with rhegmatogenous retinal detachment that performed by 2 retinal specialists at Chiangraiprachanukroh Hospital
Method: An analytic cross-sectional study was conducted on 85 patients who underwent rhegmatogenous retinal detachment surgery at Chiangraiprachanukroh Hospital between January 1, 2018 – December 31, 2018. Retrospective review of the medical records of patients for the following details : age , sex , native province , time to surgery , phakic status , locations of retinal breaks , number of retinal breaks , macular status , type of surgical procedures , visual outcome and complications of surgery. Surgical outcome measurements were postoperative visual improvement , success of anatomical reattachment after primary procedure and final results. The data were analyzed by descriptive statistics (Stata Statistical Software 12 ; Stata 12) and Fisher's exact test. Statistical significance was set at p-value<.05.
Results: Of the patients studied ,70.6 percent were male and 29.4 percent were female. The mean age was 58.3 years (range 27 – 74). Initial retinal reattachment was achieved in 67.1 percent and the final success rate increased to 85.9 percent of cases after re-operations. Higher success rate was found in the patients who had inferior retinal break , single retinal break , and were treated by scleral buckling procedure (SBP)
Conclusion: Surgical outcomes in rhegmatogenous retinal detachment at Chiangraiprachanukroh Hospital were satisfactory and acceptable. Most of the patients gained improvement of final visual results.
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ลิขสิทธิ์บทความเป็นของผู้เขียนบทความ แต่หากผลงานของท่านได้รับการพิจารณาตีพิมพ์ลงวารสารแพทย์เขต 4-5 จะคงไว้ซึ่งสิทธิ์ในการตีพิมพ์ครั้งแรกด้วยเหตุที่บทความจะปรากฎในวารสารที่เข้าถึงได้ จึงอนุญาตให้นำบทความในวารสารไปใช้ประโยชน์ได้ในเชิงวิชาการโดยจำเป็นต้องมีการอ้างอิงถึงชื่อวารสารอย่างถูกต้อง แต่ไม่อนุญาตให้นำไปใช้ในเชิงพาณิชย์
