Surgical Result of Pseudophakic Retinal Detachment in Cikini Hospital-School of Medicine Christian University of Indonesia Jakarta

Simanjuntak, Gilbert W S (2009) Surgical Result of Pseudophakic Retinal Detachment in Cikini Hospital-School of Medicine Christian University of Indonesia Jakarta. Jurnal Oftalmologi Indonesia, 7 (2). ISSN 1693 2587

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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. Key words: retinal detachment, pseudophakic, local anesthesia, surgical technique

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