Schwartz Stephen G, Kuhl Derek P, McPherson Alice R, Holz Eric R, Mieler William F
McPherson Retina Center, Cullen Eye Institute, Baylor College of Medicine, Houston, TX 77030, USA.
Arch Ophthalmol. 2002 Mar;120(3):325-9. doi: 10.1001/archopht.120.3.325.
To the report 20-year follow-up data for patients receiving a scleral buckle for treatment of a primary rhegmatogenous retinal detachment (RRD).
Nonconsecutive, retrospective case series. We identified 227 eyes with primary RRD who were treated with a scleral buckle, and for whom at least 20 years of follow-up data were available. Results were classified into 3 subgroups: retina reattached with 1 procedure; retina reattached with 1 or more additional vitreoretinal procedures; or retina detached at 20 years.
One hundred eighty-six eyes (82%) achieved retinal reattachment with 1 scleral buckling procedure and with a median final visual acuity of 20/40 at 20 years of follow-up. An additional 30 eyes (13%) achieved retinal reattachment after 1 or more additional vitreoretinal procedures, with a median final visual acuity of 20/50. Eleven eyes (5%) were detached at the 20-year follow-up examination, with a final visual acuity in all eyes of no light perception.
Scleral buckling for primary RRD achieves anatomical efficacy and preservation of central vision in the majority of eyes at 20 years' follow-up. The 1-operation success rate was 82%, overall success rate was 95%, and median final visual acuity was 20/40. This study may serve as a basis for comparison with the long-term results of other surgical techniques used in the treatment of primary RRDs.
报告接受巩膜扣带术治疗原发性孔源性视网膜脱离（RRD）患者的20年随访数据。
非连续回顾性病例系列研究。我们确定了227只接受巩膜扣带术治疗的原发性RRD患眼，且这些患眼至少有20年的随访数据。结果分为3个亚组：视网膜通过1次手术复位；视网膜通过1次或更多次额外的玻璃体视网膜手术复位；或在20年时视网膜脱离。
186只眼（82%）通过1次巩膜扣带术实现视网膜复位，在20年随访时最终视力中位数为20/40。另外30只眼（13%）在1次或更多次额外的玻璃体视网膜手术后实现视网膜复位，最终视力中位数为20/50。11只眼（5%）在20年随访检查时视网膜脱离，所有患眼最终视力均无光感。
对于原发性RRD，巩膜扣带术在20年随访时能使大多数患眼实现解剖学疗效并保留中心视力。单次手术成功率为82%，总体成功率为95%，最终视力中位数为20/40。本研究可作为与治疗原发性RRD的其他手术技术长期结果进行比较的基础。
