对侧眼行一期玻璃体切割术后视网膜脱离的发生率
Incidence of retinal detachment after fellow-performed primary pars plana vitrectomy.
作者信息
Wilkinson Justin T, Richards Amanda B, Choi Dongseok, Robertson Joseph E, Flaxel Christina J
机构信息
Casey Eye Institute, Department of Ophthalmology, Oregon Health & Science University, 3375 SW Terwilliger Boulevard, Portland, OR 97239-4197, USA ; Private Practice in Provo, Provo, UT 84604, USA.
Casey Eye Institute, Department of Ophthalmology, Oregon Health & Science University, 3375 SW Terwilliger Boulevard, Portland, OR 97239-4197, USA ; Ophthalmology, US Air Force Joint Base Langley-Eustis, Langley, VA 23665, USA.
出版信息
ISRN Ophthalmol. 2013 Sep 19;2013:353209. doi: 10.1155/2013/353209. eCollection 2013.
Background. Primary pars plana vitrectomy (PPV) is often performed by vitreoretinal fellows. We aimed to evaluate the incidence of retinal breaks and detachments (RD) after fellow-performed PPV. Methods. We reviewed 119 consecutive cases of standard 3-port primary PPVs on 115 patients at a teaching institution from 2003 to 2006. In all cases, the primary surgeon was a vitreoretinal fellow. Patients with previous RD were excluded. Cases were reviewed for postoperative retinal detachments, and all patients were followed for up to 1 year. Results. Intraoperative retinal breaks occurred in 5 of 119 eyes (4.2%). One break was associated with sclerotomy and 4 were not. Postoperative RD occurred in 8 of 119 eyes (6.7%). Two RDs were sclerotomy related, 5 were not, and 1 was of indeterminate origin. Conclusions. Incidence of retinal breaks and RD following primary PPV by vitreoretinal fellows is low and comparable to that of fellowship-trained surgeons.
背景。原发性玻璃体切除术（PPV）通常由玻璃体视网膜专科住院医师进行。我们旨在评估专科住院医师进行PPV术后视网膜裂孔和视网膜脱离（RD）的发生率。方法。我们回顾了2003年至2006年在一家教学机构对115例患者进行的119例连续标准三通道原发性PPV病例。所有病例的主刀医生均为玻璃体视网膜专科住院医师。排除既往有RD的患者。对病例进行术后视网膜脱离检查，所有患者随访长达1年。结果。119只眼中有5只（4.2%）发生术中视网膜裂孔。1例裂孔与巩膜切开术有关，4例无关。119只眼中有8只（6.7%）发生术后RD。2例RD与巩膜切开术有关，5例无关，1例来源不明。结论。玻璃体视网膜专科住院医师进行原发性PPV术后视网膜裂孔和RD的发生率较低，与接受专科培训的外科医生相当。
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