Mudvari Sachin S, Ravage Zac B, Rezaei Kourous A
Illinois Retina Associates, Harvey, IL 60426, USA.
Retina. 2009 Nov-Dec;29(10):1474-8. doi: 10.1097/IAE.0b013e3181ae70f3.
To describe the characteristics and outcome of patients who required retinal reattachment surgery after pneumatic retinopexy for rhegmatogenous retinal detachment.
Retrospective review of patients who underwent retinal reattachment surgery after pneumatic retinopexy at a multioffice retina practice. Patients with <6 months follow-up were excluded.
Two hundred eighty-nine eyes from 289 patients underwent pneumatic retinopexy and 50 eyes of 50 patients were included in this study. The mean follow-up time was 28 +/- 20.4 months (range, 6-76 months). The most common cause of detachment was development of a new retinal detachment (72%) associated with the development of a new retinal break (75%). Increased or persistent subretinal fluid associated with the original detachment was the cause of detachment in 28% of eyes. The mean number of procedures for retinal reattachment was 1.4 +/- 0.9 (range, 1-5) with the majority (72%) reattached with 1 surgery. The mean visual acuity on presentation was 20/125 (range, 20/20-hand movements) and at the final visit was 20/50 (range, 20/20-counting fingers).
Retinal reattachment surgery after pneumatic retinopexy is successful with anatomic and functional improvement. The most common cause of detachment is the formation of new inferior retinal detachment caused by a new break.
描述孔源性视网膜脱离行气体视网膜固定术后需要视网膜复位手术的患者的特征及预后。
对一家多科室视网膜诊所中行气体视网膜固定术后接受视网膜复位手术的患者进行回顾性研究。排除随访时间不足6个月的患者。
289例患者的289只眼接受了气体视网膜固定术，本研究纳入了50例患者的50只眼。平均随访时间为28±20.4个月（范围6 - 76个月）。视网膜脱离最常见的原因是与新的视网膜裂孔形成相关的新的视网膜脱离（72%）。28%的患眼视网膜脱离的原因是原脱离相关的视网膜下液增加或持续存在。视网膜复位手术的平均次数为1.4±0.9次（范围1 - 5次），大多数（72%）患者通过1次手术实现视网膜复位。初诊时平均视力为20/125（范围20/20 - 手动），末次随访时为20/50（范围20/20 - 数指）。
气体视网膜固定术后的视网膜复位手术在解剖和功能改善方面是成功的。视网膜脱离最常见的原因是由新裂孔导致的新的下方视网膜脱离的形成。
