Surgical Result of Pseudophakic Retinal Detachment in Cikini Hospital-School of Medicine Christian University of Indonesia Jakarta
ABSTRACT: The aim of this
study was to report the result of pseudophakic retinal detachment surgery in
Cikini CCI Hospital/FK-UKI Jakarta. Retrospective study of medical records of
patients with retinal detachment following cataract surgery was performed.
Anterior and posterior segment findings, interrval between prior cataract
surgery and following RD, RD duration, best corrected visual acuity (BCVA) preoperative-
and postoperatively, type of surgery and vitreous tamponade being used,
anatomical result, surgical technique and related complication were recorded.
All surgical procedures were done under local retrobulbar anesthesia. 19
patients that fulfills inclusion criteria evaluated 73.4% of them were male.
Mean age was 55.26 years (29–72), mean interval between prior cataract surgery
and following RD was 49.21 weeks (1–306), mean RD duration was 4.05 weeks
(1–12). There were two RD patients following Nd-Yag capsulotomy 4 weeks before
RD. Preoperative BCVA was 0.0667, improvement (successful rate) was 73.7%,
postoperative BCVA was 0.2696 (p 0.006). RD duration was not statistically
significant in relation with BCVA postoperatively. Multivariate analysis was
done using logistic regression. By using variables which were statistically
permitted, the result was not statistically significant. Scleral buckle procedure
was done in 26.3% patients, the rest were underwent vitrectomy. Vitrectomy of
the patients who were underwent vitrectomy, 64.3% had SF6 20% vitreous
tamponade. There were 3 patients (15.8%) became phthysis. Pseudophakic retinal
detachment can be treated and gain successful rate (anatomically and
functionally) in 73.7% of cases in Cikini CCI Hospital/FK-UKI Jakarta.
Penulis: Gilbert WS
Simanjuntak
Kode Jurnal: jpkedokterandd090005
