玻璃体平坦部玻璃体切除术与玻璃体平坦部玻璃体切除术联合巩膜扣带术用于视网膜脱离的二期修复
Pars plana vitrectomy versus combined pars plana vitrectomy-scleral buckle for secondary repair of retinal detachment.
作者信息
Rush Ryan B, Simunovic Matthew P, Sheth Saumil, Kratz Assaf, Hunyor Alex P
机构信息
Sydney Eye Hospital, Sydney Medical School, University of Sydney, 8 Macquarie Street, Sydney NSW 2000, Australia.
出版信息
Ophthalmic Surg Lasers Imaging Retina. 2013 Jul-Aug;44(4):374-9. doi: 10.3928/23258160-20130604-02. Epub 2013 Jun 12.
BACKGROUND AND OBJECTIVE
To investigate the optimal technique for repairing recurrent rhegmatogenous retinal detachments.
PATIENTS AND METHODS
A 2-year retrospective review of recurrent rhegmatogenous retinal detachments by 23-gauge pars plana vitrectomy (PPV) or combined 23-gauge PPV with encircling scleral buckling was performed. The primary outcome was anatomical success. The secondary outcome was the likelihood of achieving a final best corrected visual acuity of 6/12 or better at 6-month follow-up.
RESULTS
Anatomical success was achieved in 65.2% (95% CI, 53.4% to 75.4%) of the PPV group versus 74.3% (95% CI, 57.9% to 85.8%) of the PPV-scleral buckling group with one additional procedure (not statistically significant). There was no significant difference in the likelihood of achieving a final acuity of at least 6/12 between groups at 6-month follow-up.
CONCLUSION
The results of our study do not demonstrate a superiority of method of primary repair, or of one method of secondary repair, over another.
背景与目的
探讨修复复发性孔源性视网膜脱离的最佳技术。
患者与方法
对采用23G经睫状体平坦部玻璃体切除术（PPV）或23G PPV联合环扎巩膜扣带术治疗复发性孔源性视网膜脱离进行为期2年的回顾性研究。主要观察指标为解剖学成功。次要观察指标为在6个月随访时最终最佳矫正视力达到6/12或更好的可能性。
结果
PPV组解剖学成功率为65.2%（95%CI，53.4%至75.4%），PPV联合巩膜扣带术组为74.3%（95%CI，57.9%至85.8%），需额外进行一次手术（无统计学意义）。在6个月随访时，两组间最终视力至少达到6/12的可能性无显著差异。
结论
我们的研究结果未显示初次修复方法或二次修复方法中的一种优于另一种。
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