Outcomes of Rhegmatogenous Retinal Detachment Surgery by General Ophthalmologists in Lampang Hospital
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Abstract
Background: Rhegmatogenous retinal detachment is one of the eye problems to cause blindness. Surgical treatment is highly technical demand. Ideally it should be operated by retinal specialist rather than general ophthalmologist.
Objective: To evaluate the surgical outcomes and visual results of rhegmatogenous retinal detachment surgery performed by general ophthalmologists in Lampang Hospital.
Material and method: An analytic cross-sectional study was conducted on 71 patients who underwent rhegmatogenous retinal detachment surgery in Lampang Hospital between 1st January and 31st December 2008. The retrospective data included age, gender, native province, time to surgery, type of procedures and macular status. Outcome measurements were postoperative visual improvement, success of anatomical reattachment after primary procedure and final results. The data was analyzed by descriptive statistics and Pearson chi-square test. Statistical significance was set at p<0.10.
Results: Sixty-two percent of the patients were male. The mean age was 53.0 ± 12.5 years (range, 18-81). Initial retinal reattachment was achieved in 69% and the final success rate increased to 85.9% of cases after re-operations. Sixty-nine percent of the patients improved their final visual results, 8.5% not improved and 8.5% worse. Higher success rate was found in the patients who lived in Lampang native province, had no macular detachment and time to surgery within 8 days. Primary procedures with pneumatic retinopexy (PR) alone, or scleral buckling (SB) combined with pars plana vitrectomy (PPV) yielded significantly better final results
than primary procedures with SB or PPV alone (p=0.026).
Conclusion: Anatomical reattachment rate of primary procedures and final results performed by general ophthalmologists in Lampang Hospital was comparable to those of general ophthalmologists in other studies. Most of the patients gained improvement of final visual results.
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บทความที่ส่งมาลงพิมพ์ต้องไม่เคยพิมพ์หรือกำลังได้รับการพิจารณาตีพิมพ์ในวารสารอื่น เนื้อหาในบทความต้องเป็นผลงานของผู้นิพนธ์เอง ไม่ได้ลอกเลียนหรือตัดทอนจากบทความอื่น โดยไม่ได้รับอนุญาตหรือไม่ได้อ้างอิงอย่างเหมาะสม การแก้ไขหรือให้ข้อมูลเพิ่มเติมแก่กองบรรณาธิการ จะต้องเสร็จสิ้นเป็นที่เรียบร้อยก่อนจะได้รับพิจารณาตีพิมพ์ และบทความที่ตีพิมพ์แล้วเป็นสมบัติ ของลำปางเวชสาร
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