[Anatomical results of cryosurgical procedures in rhegmatogenous retinal detachment - our experience].
OBJECTIVE
To evaluate retrospectively anatomical results of cryosurgical treatment of non-complicated idiopathic rhegmatogenous retinal detachment. To assess the successfulness of primary cryosurgical surgeries, permanent retinal re-attachment; to review the efficacy of cryosurgical procedures according to chosen surgical technique and patients age as well.


METHODS
In the evaluated group were included 120 eyes of 120 patients operated on in the years 2003- 2012 at the Department of Ophthalmology, Faculty Hospital and School of Medicine, Palacký University, Olomouc, Czech Republic, E.U. All of the patients were phakic. The patients were evaluated at one and three months after the surgery. The posterior pole examinations were done by means of biomicroscopic examination and indirect ophthalmoscopy. The retina was evaluated as attached in whole extent in case of re-established contact between the neurosensory retina and the retinal pigment epithelium in the whole periphery.


RESULTS
In 106 (88 %) patients, the re-attachment of the retina was achieved by solely cryosurgical procedure; in 117 (97.5 %) patients, the definite re-attachment of the retina was achieved. In three patients (2.5 %), the retina remained detached. Statistically better results were obtained in patients with peroperative exodrainage of the subretinal fluid and in patients younger than 50 years of age.


CONCLUSIONS
We established the usefulness of cryosurgical operative procedure in treatment of uncomplicated idiopathic rhegmatogenous retinal detachment in phakic patients. Especially in young phakic patients, the cryosurgical procedure may be protective to preserve the clear lens and eye accommodation.
O
O
Chrapek
M
M
Sín
B
B
Jirková
J
J
Jarkovský
J
J
Rehák
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002648:Child; D003452:Cryosurgery / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012163:Retinal Detachment / Q000175:diagnosis / Q000601:surgery*; D055213:Retinal Pigment Epithelium / Q000473:pathology*; D012189:Retrospective Studies; D016896:Treatment Outcome; D055815:Young Adult