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¹S.B. Ankara Ulucanlar Göz Eğitim ve Araşt. Hast. 2. Göz Kliniği, Ankara, Uzm. Dr.
²S.B. Ankara Ulucanlar Göz Eğitim ve Araşt. Hast. 2. Göz Kliniği, Ankara, Doç. Dr.
³S.B. Ankara Ulucanlar Göz Eğitim ve Araşt. Hast. 2. Göz Kliniği, Ankara, Asist. Dr.
⁴S.B. Ankara Ulucanlar Göz Eğitim ve Araşt. Hast. 2. Göz Kliniği, Ankara, Klinik Şefi Purpose: To compare the postoperative success of rhegmatogeneus retinal detachment and proliferative vitreoretinopathy with and without intravitreal triamcinolone acetonide (TA) assisted vitreoretinal surgery.
Materials and Methods: This study included thirty three eyes of 33 patients that undergone with and without intravitreal TA assisted vitreoretinal surgery due to rhegmatogeneus retinal detachment and proliferative vitreoretinopathy in SB Ankara Ulucanlar Eye Education and Research Hospital between October 2005 and April 2006. The patients were evaluated for type of surgery and postoperative recurrent retinal detachment.
Results: Intravitreal TA assisted vitreoretinal surgery was performed in 18 eyes (Group 1). In 15 eyes, conventional vitreoretinal surgery without intravitreal TA was performed (Group 2). In Group 1, five patients were pseudophakic retinal detachment (27.77%), 3 patients were retinal detachment with degenerative myopia (16.66%), one patient aphakic retinal detachment (5.55%), 1 patient was traumatic retinal detachment (5.55 %), and 8 patients were phakic rhegmatogeneus retinal detachment (44.44%). In Group 2, four patients were traumatic retinal detachment (26.66%), 2 patients were pseudophakic retinal detachment (13.33%), 2 patients were retinal detachment with degenerative myopia (13.33%), one patient aphakic retinal detachment (6.66%), and 6 patients were phakic rhegmatogeneus retinal detachment (40%). Pars plana vitrectomy, posterior hyaloid peeling, membranectomy, endolaser photocoagulation and intravitreal silicone oil injection were performed to these cases. Recurrent retinal detachments were observed in five of 18 patients (27.77%) in group 1 and four of 15 patients (26.66%) in group 2 during the follow-up period.
Conclusion: There is no statistically significant difference between two groups on the postoperative success in rhegmatogeneus retinal detachment with proliferative vitreoretinopathy after vitreoretinal surgery as a point of recurrent retinal detachments. Keywords : Triamcinolone, recurrent retinal detachment, proliferative vitreoretinopathy