单纯玻璃体切除术治疗巨大视网膜裂孔
Vitrectomy alone in the management of giant retinal tears.
作者信息
Jain Nieraj, Kozak Jennifer A, Niziol Leslie M, Musch David C, Zacks David N
机构信息
Department of Ophthalmology and Visual Sciences, University of Michigan, Ann Arbor, Michigan, USA.
出版信息
Ophthalmic Surg Lasers Imaging Retina. 2014 Sep-Oct;45(5):421-7. doi: 10.3928/23258160-20140908-03.
BACKGROUND AND OBJECTIVE
To evaluate the outcomes of vitrectomy without adjuvant scleral buckling for giant retinal tear (GRT) detachment and assess the impact of preoperative lens status on these outcomes.
PATIENTS AND METHODS
Retrospective review of consecutive cases of vitrectomy alone for primary GRT detachment at the University of Michigan from October 1992 through October 2012. The primary outcome measure was Kaplan-Meier–estimated single-surgery reattachment rate at 3 months.
RESULTS
Eligibility criteria were met by 41 eyes of 40 patients. Six eyes (15%) had grade C proliferative vitreoretinopathy at baseline. The single-surgery reattachment rate was 83% (95% CI: 67%, 91%) at 3 months, with no significant difference between phakic and nonphakic eyes.
CONCLUSION
Based on this retrospective series, and within the confines of our eligibility criteria, adjuvant scleral buckling does not appear to be necessary in the management of primary GRT detachment.
背景与目的
评估无辅助性巩膜扣带术的玻璃体切除术治疗巨大视网膜裂孔（GRT）性视网膜脱离的效果，并评估术前晶状体状态对这些效果的影响。
患者与方法
回顾性分析1992年10月至2012年10月在密歇根大学连续接受单纯玻璃体切除术治疗原发性GRT性视网膜脱离的病例。主要结局指标是采用Kaplan-Meier法估计的3个月时单次手术视网膜复位率。
结果
40例患者的41只眼符合纳入标准。6只眼（15%）基线时患有C级增生性玻璃体视网膜病变。3个月时单次手术视网膜复位率为83%（95%可信区间：67%，91%），有晶状体眼和无晶状体眼之间无显著差异。
结论
基于这个回顾性系列研究，并在我们的纳入标准范围内，在原发性GRT性视网膜脱离的治疗中，辅助性巩膜扣带术似乎并非必要。
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