Kuriyama S, Matsumura M, Harada T, Ishigooka H, Ogino N
Department of Opthalmology, Kyoto University Faculty of Medicine, Japan.
Arch Ophthalmol. 1990 Nov;108(11):1559-61. doi: 10.1001/archopht.1990.01070130061031.
We evaluated reattachment rates of the transvitreal and transscleral techniques for treating 250 eyes with retinal detachment due to macular hole. The initial success rate of the transvitreal approach was 56% (53/94). There was no difference between the results of gas tamponade alone and vitrectomy and gas tamponade. The initial success rate of the transscleral approach was 83% (130/156). Macular diathermy and macular buckling showed a higher reattachment rate than macular diathermy alone. The final success rates were the same (95%), regardless of which approach was selected as an initial technique. The patients whose initial transvitreal reattachment failed and who underwent additional transvitreal procedures (including macular laser photocoagulation) showed a success rate of 93%. We believe that gas tamponade, which has possibility of better visual prognosis, should be selected as an initial technique because the final success rate was found to be the same regardless of the initial surgical techniques.
我们评估了经玻璃体和经巩膜技术治疗250只黄斑裂孔性视网膜脱离眼的复位率。经玻璃体入路的初始成功率为56%（53/94）。单纯气体填塞与玻璃体切除术联合气体填塞的结果无差异。经巩膜入路的初始成功率为83%（130/156）。黄斑透热疗法联合黄斑扣带术的复位率高于单纯黄斑透热疗法。无论选择哪种入路作为初始技术，最终成功率均相同（95%）。初始经玻璃体复位失败并接受额外经玻璃体手术（包括黄斑激光光凝）的患者成功率为93%。我们认为，由于无论初始手术技术如何最终成功率相同，应选择有可能获得更好视觉预后的气体填塞作为初始技术。
