用于微切口玻璃体切割术治疗糖尿病性牵拉性视网膜脱离的新型粘弹分离器械。
New viscodissection instrument for use with microincisional vitrectomy in the treatment of diabetic tractional retinal detachments.
作者信息
Fortun Jorge A, Hubbard G Baker
机构信息
Department of Ophthalmology, Emory University School of Medicine, Atlanta, GA 30322, USA.
出版信息
Arch Ophthalmol. 2011 Mar;129(3):352-5. doi: 10.1001/archophthalmol.2011.15.
OBJECTIVE
To report on the results of the surgical management of diabetic tractional retinal detachments using 25-gauge vitrectomy and a newly developed viscodissection instrument.
DESIGN
Single-surgeon, noncomparative, consecutive case series of 30 eyes with severe diabetic tractional retinal detachment in patients who underwent viscodissection-assisted 25-gauge vitrectomy using the viscodissection instrument.
RESULTS
Median preoperative visual acuity was 20/400. Median follow-up was 170 days. All retinas were attached at last follow-up. Median postoperative visual acuity was 20/70. Visual acuity improved by 2 or more lines in 17 eyes and remained stable in 11 eyes, without worsening of vision in any eyes.
CONCLUSION
The newly developed viscodissection instrument facilitates microincisional vitrectomy for complex diabetic tractional retinal detachment.
目的
报告使用25G玻璃体切除术和一种新开发的粘性分离器械治疗糖尿病性牵引性视网膜脱离的手术结果。
设计
对30例严重糖尿病性牵引性视网膜脱离患者进行单术者、非对照、连续病例系列研究，这些患者使用粘性分离器械接受了粘性分离辅助25G玻璃体切除术。
结果
术前中位视力为20/400。中位随访时间为170天。在最后一次随访时，所有视网膜均已复位。术后中位视力为20/70。17只眼的视力提高了2行或更多行，11只眼视力保持稳定，无任何一只眼视力恶化。
结论
新开发的粘性分离器械有助于进行复杂糖尿病性牵引性视网膜脱离的微小切口玻璃体切除术。
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