Rishi Pukhraj, Rishi Ekta, Gupta Aditi, Mathew Cheriyan Shane, Shah Bhavesh J
Shri Bhagwan Mahavir Department of Vitreoretinal Services, Sankara Nethralaya, 18 College Road, Chennai, Tamil Nadu, India.
Oman J Ophthalmol. 2014 May;7(2):55-60. doi: 10.4103/0974-620X.137138.
With the increasing number of cataract surgeries, incidence of posterior segment complications including rhegmatogenous retinal detachment (RRD) is likely to rise. Scleral buckling (SB) surgery is an effective and less expensive option. The primary advantage of non-drainage procedure is avoidance of possible complications associated with trans-choroidal drainage. The aim of present study is to describe the clinical profile of subjects undergoing non-drainage SB surgery with solid silicone elements for RRD and analyze their treatment outcomes.
This was a retrospective, non-randomized, interventional study at a tertiary care center. Three hundred and six eyes of 298 patients undergoing non-drainage SB surgery with solid silicone elements from year 2000 to 2006 were included. Inclusion criteria were primary RRD, peripheral depressible retinal break, media clarity affording peripheral retinal view and proliferative vitreo-retinopathy (PVR) up to grade C2. Uni- and multivariate analyses was done to analyze factors affecting anatomical and visual outcomes. Statistical analysis was performed using SPSS Version 10.
Mean follow-up was 303 ± 393.33 days. Primary anatomical success was obtained in 279 (91.2%) eyes; primary functional success in 286 (93.5%) eyes. PVR (grade B or C), intraocular pressure <10 mm Hg and the inability to find a retinal break were significantly associated with final anatomical failure. Baseline vision ≤3/60 was significantly associated with poor visual recovery.
SB surgery is reasonably safe and highly efficacious. Solid silicone elements are effective in non-drainage SB surgery. However, case selection is important.
随着白内障手术数量的增加，包括孔源性视网膜脱离（RRD）在内的后段并发症的发生率可能会上升。巩膜扣带术（SB）是一种有效且成本较低的选择。非引流手术的主要优点是避免了与经脉络膜引流相关的可能并发症。本研究的目的是描述接受非引流性巩膜扣带术治疗RRD的患者的临床特征，并分析其治疗效果。
这是一项在三级医疗中心进行的回顾性、非随机、干预性研究。纳入了2000年至2006年接受非引流性巩膜扣带术治疗的298例患者的306只眼。纳入标准为原发性RRD、周边可压陷性视网膜裂孔、能看清周边视网膜的透明介质以及增生性玻璃体视网膜病变（PVR）C2级及以下。进行单因素和多因素分析以分析影响解剖和视觉结果的因素。使用SPSS 10版进行统计分析。
平均随访时间为303±393.33天。279只眼（91.2%）获得了原发性解剖成功；286只眼（93.5%）获得了原发性功能成功。PVR（B级或C级）、眼压<10 mmHg以及未能找到视网膜裂孔与最终解剖失败显著相关。基线视力≤3/60与视觉恢复不良显著相关。
巩膜扣带术相当安全且疗效显著。固体硅胶材料在非引流性巩膜扣带术中有效。然而，病例选择很重要。
