O'Malley P, Swearingen K
Ophthalmology. 1992 Feb;99(2):269-77.
One hundred consecutive pneumatic retinopexy eligible eyes underwent outpatient scleral buckle and diathermy. Follow-up averaged 31 months. Four cases required a second operation. Absence of an encircling band was the only significant risk factor (P = 0.00000028) for the three redetachments because of new or missed retinal tears. Although 18 patients had some other disease that reduced visual acuity before the retina detached, final visual acuity was 20/40 or better in 79 patients. Matched with a reported series treated by pneumatic retinopexy with cryopexy, these scleral buckle with diathermy cases exhibit significantly better final visual acuity with fewer major complications. The final acuity is also better than for two similar series, one treated with temporary balloon buckle and the second with scleral buckle and cryopexy. Use of diathermy rather than cryotherapy in the zone of retinal detachment may be the reason for the current group's better final acuity results.
连续100只适合进行气性视网膜固定术的眼睛接受了门诊巩膜扣带术和透热疗法。随访平均时间为31个月。4例患者需要进行二次手术。对于因新的或遗漏的视网膜裂孔导致的3次视网膜再脱离，未使用环扎带是唯一显著的危险因素（P = 0.00000028）。尽管18例患者在视网膜脱离前患有其他降低视力的疾病，但79例患者的最终视力为20/40或更好。与报道的气性视网膜固定术联合冷冻疗法治疗的系列病例相比，这些巩膜扣带术联合透热疗法的病例最终视力显著更好，主要并发症更少。最终视力也优于另外两个类似系列，一个采用临时球囊扣带术治疗，另一个采用巩膜扣带术和冷冻疗法治疗。在视网膜脱离区域使用透热疗法而非冷冻疗法可能是当前组最终视力结果更好的原因。
