급성 뒤유리체박리와 관련된 망막열공의 임상분석

The Clinical Analysis of the Acute Posterior Vitreous Detachment-related Retinal Tears

Purpose: To evaluate the clinical characteristics of patients who were previously treated for acute posterior vitreous detachment-related retinal tears. Methods: A retrospective chart review of patients who were treated for retinal tears with symptoms of acute posterior vitreous detachment between January 2000 and December 2005 was performed. Results: The mean age at diagnosis was 51.62±12.29 years, and the mean follow-up period was 16.13±9.87 months. A barrier laser photocoagulation and cryopexy was performed to treat initial retinal tears. The outcomes of treatment for initial retinal tears were favorable. During the follow-up period, the incidence of new retinal tears was 10.3% (8 eyes/77 eyes), and the onset of new retinal tears occurred within a mean of 11.87±5.96 months after treatment for initial retinal tears. Only 2 patients who had new retinal tears complained of symptoms such as increased floaters and photopsia. A barrier laser photocoagulation was performed to treat new retinal tears. The outcomes of treatment for new retinal tears were successful. Conclusions: The outcomes of treatment with a barrier laser photocoagulation and cryopexy for acute posterior vitreous detachment-related retinal tear were good. In addition, new retinal tears were almost asymptomatic and developed within 15 months after the treatment for initial retinal tears.