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犬视网膜复位手术的结果:145例回顾性研究

Outcome of retinal reattachment surgery in dogs: a retrospective study of 145 cases.

作者信息

Steele Kirsten A, Sisler Steve, Gerding Paul A

机构信息

Eye Care For Animals, Reno, NV, USA.

出版信息

Vet Ophthalmol. 2012 Sep;15 Suppl 2:35-40. doi: 10.1111/j.1463-5224.2012.01009.x. Epub 2012 Mar 29.

Abstract

OBJECTIVE

To summarize the clinical outcomes and complications of pars plana vitrectomy with perfluoro-n-octane (PFO)-silicone oil exchange and endolaser retinopexy for treatment of retinal detachment (RD) in dogs, at one surgical center.

PROCEDURE

Records of 145 dogs (168 eyes) that underwent retinal reattachment surgery (RR) between 2005 and 2009 were reviewed. All surgeries were performed by the same surgeon (SS). Data collected from the medical records included signalment, duration of time from diagnosis of RD to surgical intervention, if prior lensectomy was performed, time from surgery to restoration of vision, and postoperative complications. The data was analyzed to test the effect of breed, prior lensectomy, and time from diagnosis to surgery on visual outcome, tendency for complications, and time of complication onset.

RESULTS

One hundred thirty pure-bred dogs (36 breeds) and 15 mixed-breed dogs were represented. One hundred fifty-five of 168 eyes (92%) were visual after surgery. Six of 155 eyes (3.8%) were visual before the procedure and retained vision; one hundred forty-nine of 155 eyes (96%) were nonvisual before and regained vision afterward. Thirteen of 168 eyes (8%) that were nonvisual prior to the procedure did not regain vision. The most common complications in order of occurrence included: cataract development, silicone prolapse into the anterior chamber, corneal ulceration, retinal degeneration, glaucoma, and uveitis.

CONCLUSIONS

Pars plana vitrectomy with PFO-silicone oil exchange and endolaser retinopexy for treatment of RD in dogs is highly successful and associated with overall good visual outcome.

摘要

目的

总结在一个手术中心,采用全氟正辛烷(PFO)-硅油置换联合眼内激光视网膜光凝术治疗犬视网膜脱离(RD)的临床疗效和并发症。

方法

回顾了2005年至2009年间接受视网膜复位手术(RR)的145只犬(168只眼)的记录。所有手术均由同一位外科医生(SS)进行。从病历中收集的数据包括信号、从RD诊断到手术干预的时间、是否进行过晶状体切除术、从手术到视力恢复的时间以及术后并发症。对数据进行分析,以测试品种、先前的晶状体切除术以及从诊断到手术的时间对视觉结果、并发症倾向和并发症发生时间的影响。

结果

包括130只纯种犬(36个品种)和15只混血犬。168只眼中有155只(92%)术后视力恢复。155只眼中有6只(3.8%)术前有视力并保留了视力;155只眼中有149只(96%)术前无视力,术后恢复了视力。168只眼中有13只(8%)术前无视力,术后未恢复视力。按发生顺序排列最常见的并发症包括:白内障形成、硅油脱垂至前房、角膜溃疡、视网膜变性、青光眼和葡萄膜炎。

结论

采用PFO-硅油置换联合眼内激光视网膜光凝术治疗犬RD非常成功,总体视觉效果良好。

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