Martínez-Castillo Vicente, Verdugo Alicia, Boixadera Anna, García-Arumí José, Corcóstegui Borja
Vall d'Hebrón Hospital, Universidad Autónoma de Barcelona, Calle Londres No. 54, 41B, Barcelona 08036, Spain.
Arch Ophthalmol. 2005 Aug;123(8):1078-81. doi: 10.1001/archopht.123.8.1078.
To determine the role of pars plana vitrectomy without scleral buckling and air as a tamponade with 24 hours of prone positioning in the management of inferior breaks in primary pseudophakic rhegmatogenous retinal detachment.
Prospective, noncomparative, interventional case series. Fifteen consecutive eyes (15 patients) with primary pseudophakic rhegmatogenous retinal detachment with causative breaks located between the 4-o'clock and 8-o'clock positions underwent pars plana vitrectomy with air tamponade. The prone position was maintained for 24 hours. Anatomic and functional results are presented.
The anatomic reattachment rate was 93.3% after 1 procedure and 100% at the 6-month visit. Mean preoperative best-corrected visual acuity was 20/60 (range, 20/400 to 20/25) and mean postoperative best-corrected visual acuity was 20/30 (range, 20/100 to 20/20). In 1 case the retina redetached at the second week because of an undetected break. Postoperative epiretinal membrane was observed in 1 case.
Pars plana vitrectomy and air tamponade with only 24 hours of prone positioning postoperatively is effective in the management of primary pseudophakic rhegmatogenous retinal detachment with causative breaks between the 4-o'clock and 8-o'clock positions.
确定在原发性人工晶状体孔源性视网膜脱离下方裂孔的治疗中，不进行巩膜外加压、使用空气作为填塞物并俯卧位24小时的玻璃体切除术的作用。
前瞻性、非对照、干预性病例系列。连续15例（15只眼）原发性人工晶状体孔源性视网膜脱离且病因性裂孔位于4点至8点位置的患者接受了玻璃体切除术并使用空气填塞。俯卧位维持24小时。报告了解剖和功能结果。
一次手术后解剖复位率为93.3%，6个月随访时为100%。术前平均最佳矫正视力为20/60（范围为20/400至20/25），术后平均最佳矫正视力为20/30（范围为20/100至20/20）。1例患者因未发现的裂孔在第二周视网膜再次脱离。1例患者术后观察到视网膜前膜。
玻璃体切除术和空气填塞，术后仅俯卧位24小时，对于治疗原发性人工晶状体孔源性视网膜脱离且病因性裂孔位于4点至8点位置是有效的。
