糖尿病性视网膜病变继发牵引性视网膜脱离的无填充玻璃体切除术的疗效

The Outcomes of Pars Plana Vitrectomy without Tamponade for Tractional Retinal Detachment Secondary to Diabetic Retinopathy.

作者信息

Qamar Rao Muhammad Rashad, Saleem Muhammad Imran, Saleem Muhammad Farhan

机构信息

Department of Ophthalmology, Eye Unit-I, Bahawal Victoria Hospital, Bahawalpur 63100, Pakistan.

出版信息

Malays J Med Sci. 2013 May;20(3):55-60.

PMID:23966826

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3743983/

Abstract

BACKGROUND

The objective of this research was to evaluate the outcomes of pars plana vitrectomy (PPV) without the use of an ocular tamponade in patients with tractional retinal detachment (TRD) secondary to proliferative diabetic retinopathy (PDR) presenting to Bahawal Victoria Hospital, Bahawalpur, Pakistan.

METHODS

This was an interventional study conducted at the Department of Ophthalmology, Bahawal Victoria (B.V.) Hospital, Bahawalpur, Pakistan, from July 2011 to July 2012. A total of 75 patients (84 eyes) with TRD secondary to PDR were treated by PPV without using an ocular tamponade. All patients included in the study had a TRD secondary to PDR but did not have or develop retinal breaks before or during the study period. The surgical procedure included a PPV combined with the removal of the tractional retinal membranes and the application of endolaser photocoagulation to the retina. The mean follow-up period was 12 months.

RESULTS

The study included 75 patients (84 eyes). Among these, 40 patients were females and 35 males. Successful retinal reattachment was observed in 78 of the operated eyes (92.8%). In these patients, the retina remained attached until the end of the 12 month follow-up period. Improvement in best corrected visual acuity (BCVA) was seen in 63 eyes (75%). The visual acuity remained unchanged in nine eyes (10.7%). Mean improvement in BCVA was 2.00 ± 1.24 at baseline to 1.24 ± 1.22 (P = 0.010) at the end of the follow-up period.

CONCLUSION

In the absence of retinal breaks, a TRD secondary to PDR can be successfully treated and improved by PPV without the use of an ocular tamponade.

摘要

背景

本研究的目的是评估在巴基斯坦巴哈瓦尔布尔的巴哈瓦尔维多利亚医院就诊的、因增殖性糖尿病视网膜病变（PDR）继发牵引性视网膜脱离（TRD）的患者，行不使用眼内填充剂的玻璃体切除术（PPV）的效果。

方法

这是一项于2011年7月至2012年7月在巴基斯坦巴哈瓦尔布尔的巴哈瓦尔维多利亚（B.V.）医院眼科进行的干预性研究。共有75例（84只眼）因PDR继发TRD的患者接受了不使用眼内填充剂的PPV治疗。纳入研究的所有患者均为PDR继发TRD，但在研究期间之前或期间没有视网膜裂孔或未出现视网膜裂孔。手术过程包括PPV联合切除牵引性视网膜膜并对视网膜进行视网膜内激光光凝。平均随访期为12个月。

结果

该研究纳入了75例患者（84只眼）。其中，女性40例，男性35例。78只手术眼（92.8%）观察到视网膜成功复位。在这些患者中，直到12个月随访期结束时视网膜仍保持附着。63只眼（75%）的最佳矫正视力（BCVA）有所改善。9只眼（10.7%）的视力保持不变。随访期末BCVA的平均改善从基线时的2.00±1.24提高到1.24±1.22（P = 0.010）。