Germany Eye Hospital University of Münster, Münster, Germany.
Acta Ophthalmol. 2012 Aug;90(5):481-6. doi: 10.1111/j.1755-3768.2010.01939.x. Epub 2010 Jun 1.
To evaluate the anatomical success rate of scleral buckling surgery in the treatment of rhegmatogenous retinal detachment and to evaluate the differences in outcome between patients suffering macula-off retinal detachment and those without a macular involvement.
As a retrospective interventional case series, Munster Study on Therapy Achievements in Retinal Detachment (MUSTARD) is one of the largest ever established of retinal detachment patients and their outcome after buckling surgery, with 4325 patients who underwent surgery between 1980 and 2001. In 53.94% (n = 2134) of 3956 patients with nontraumatic retinal detachment, the macula was involved. The main outcome measure was the achievement of dry anatomical attachment of the retina.
The success rate in patients with macula-off retinal detachment is 80.46% and thus 7.78% lower (p < 0.01) than that in those patients with their macula intact whose success rate amounted to 88.24%. The overall success rate of all 4325 MUSTARD patients was 83.98%.
Scleral buckling is an established and mostly successful method for the treatment of retinal detachment. As our case series has demonstrated, even eyes with macula-off can be treated successfully by this procedure, thereby avoiding the complications of primary vitrectomy.
评估巩膜扣带术治疗孔源性视网膜脱离的解剖成功率，并评估黄斑脱离和非黄斑受累患者的结果差异。
作为一项回顾性干预性病例系列研究，明斯特视网膜脱离治疗疗效研究（MUSTARD）是有史以来规模最大的视网膜脱离患者及其巩膜扣带术后结果的研究之一，共有 4325 名患者于 1980 年至 2001 年间接受了手术。在 3956 名非创伤性视网膜脱离患者中，53.94%（n=2134）的黄斑受累。主要观察指标为视网膜干性解剖附着的实现。
黄斑脱离患者的成功率为 80.46%，因此比黄斑完整患者的成功率低 7.78%（p<0.01），后者的成功率为 88.24%。所有 4325 名 MUSTARD 患者的总体成功率为 83.98%。
巩膜扣带术是治疗视网膜脱离的一种成熟且大多成功的方法。正如我们的病例系列所表明的那样，即使是黄斑脱离的眼睛也可以通过这种手术成功治疗，从而避免了初次玻璃体切除术的并发症。
