Changing trends in surgery for retinal detachment in Korea
Ga Eun Cho1, Seong Wook Kim2, Se Woong Kang1
1Department of Ophthalmology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
Korean Journal of Ophthalmology : KJO
|December 2, 2014
Summary
Surgical trends for rhegmatogenous retinal detachment (RRD) show a significant shift. Over a decade, vitrectomy has increasingly replaced pneumatic retinopexy and scleral buckling for RRD treatment, especially in complex cases.
Area of Science:
- Ophthalmology
- Surgical Trends
- Retinal Detachment
Background:
- Rhegmatogenous retinal detachment (RRD) is a serious condition requiring timely surgical intervention.
- Understanding evolving surgical practices is crucial for optimal patient outcomes.
Purpose of the Study:
- To analyze the changes in surgical management trends for RRD.
- To compare RRD surgical practices in South Korea between 2001 and 2013.
Main Methods:
- A comparative survey study was conducted among members of the Korean Retina Society.
- Surgeons' preferences for managing hypothetical RRD cases were assessed in 2001 and 2013.
- Response rates were 79.3% in 2001 and 60.7% in 2013.
Main Results:
- Preference for pneumatic retinopexy decreased for uncomplicated primary RRD.
- Vitrectomy use increased for RRD with vitreous hemorrhage, myopia, or fellow eye buckling history.
- Vitrectomy became significantly more popular for pseudophakic, macula-off RRD with posterior capsular opacity.
Conclusions:
- Surgical management of RRD has significantly shifted towards vitrectomy.
- This shift occurred over a decade for RRD cases involving myopia, pseudophakia, and media opacity.
- Vitrectomy has largely replaced scleral buckling and pneumatic retinopexy in these scenarios.
