Department of Ophthalmology, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands.
Am J Ophthalmol. 2010 Mar;149(3):447-52. doi: 10.1016/j.ajo.2009.10.017.
To describe the functional and anatomic results of retinectomy without scleral buckling for anterior proliferative vitreoretinopathy in eyes that did not undergo previous buckling surgery.
Retrospective, nonrandomized, interventional case series.
We reviewed the results of 123 consecutive cases of retinectomy for rhegmatogenous retinal detachment complicated by anterior proliferative vitreoretinopathy. The primary outcome measure was anatomic success, defined as complete retinal reattachment. Secondary outcome measures were final anatomic success, final visual acuity outcome, number of operations required for retinal reattachment, baseline extent of proliferative vitreoretinopathy, ocular pressure at final follow-up, extent of retinectomy, and occurrence of complications.
The anatomic success rate was 77.2%. Final attachment rate was 95.9%, reached after 1 rhegmatogenous retinal detachment reoperation in 21 cases and after 2 rhegmatogenous retinal detachment reoperations in 4 cases. We had a low rate of postoperative hypotony (4.1%). Visual acuity was significantly improved from 2.10 to 1.44 logarithm of the minimal angle of resolution units (P < .001). Improvement was related significantly to retinectomy extent and primary anatomic success.
Our results show that primary retinectomy without scleral buckling has good anatomic and functional results.
描述未行巩膜扣带术的视网膜切除术治疗前部增生性玻璃体视网膜病变的功能和解剖结果，这些患者未行先前的巩膜扣带术。
回顾性、非随机、干预性病例系列研究。
我们回顾了 123 例连续的孔源性视网膜脱离合并前部增生性玻璃体视网膜病变患者行视网膜切除术的结果。主要观察指标是解剖学成功，定义为完全视网膜复位。次要观察指标为最终解剖学成功、最终视力结果、视网膜复位所需的手术次数、增生性玻璃体视网膜病变的基线程度、最终随访时的眼压、视网膜切除术的范围以及并发症的发生。
解剖成功率为 77.2%。最终附着率为 95.9%，21 例中有 2 例孔源性视网膜脱离再手术，4 例中有 4 例孔源性视网膜脱离再手术达到最终附着。我们术后低眼压发生率（4.1%）。视力明显从 2.10 提高到 1.44 对数最小角分辨率单位（P <.001）。改善与视网膜切除术范围和主要解剖学成功显著相关。
我们的结果表明，未行巩膜扣带术的初次视网膜切除术具有良好的解剖和功能结果。
