Gogia Varun, Venkatesh Pradeep, Gupta Shikha, Kakkar Ashish, Garg Satpal
Department of Ophthalmology, Dr. Rajendra Prasad Centre for Ophthalmic Science, All India Institute of Medical Sciences, New Delhi, India.
Indian J Ophthalmol. 2014 Aug;62(8):893-4. doi: 10.4103/0301-4738.141068.
The aim was to evaluate the long-term surgical outcomes of endoillumination assisted scleral buckling (EASB) in primary rhegmatogenous retinal detachment (RRD).
Twenty-five eyes of 25 patients with primary RRD and proliferative vitreoretinopathy ≤C2 where any preoperative break could not be localised, were included. All patients underwent 25 gauge endoilluminator assisted rhegma localisation. Successful break determination was followed by cryopexy and standard scleral buckling under surgical microscope. Anatomical and functional outcomes were evaluated at the end of 2 years.
At least one intraoperative break could be localized in 23 of 25 (92%) eyes. Median age of these patients was 46 years (range: 17-72). Thirteen eyes (56.52%) were phakic, 8 (34.78%) were pseudophakic and 2 (8.6%) were aphakic. Anatomical success (attachment of retina) was achieved in 22 (95.63%) of 23 eyes with EASB. All eyes remained attached at the end of 2 years. Significant improvement in mean visual acuity (VA) was achieved at the end of follow-up (1.09 ± 0.46 log of the minimum angle of resolution [logMAR]) compared with preoperative VA (1.77 ± 0.28 logMAR) (P < 0.001).
EASB can be considered an effective alternative to vitreoretinal surgery in simple retinal detachment cases with the added advantage of enhanced microscopic magnification and wide field illumination.
评估内照明辅助巩膜扣带术（EASB）治疗原发性孔源性视网膜脱离（RRD）的长期手术效果。
纳入25例原发性RRD且增生性玻璃体视网膜病变≤C2级、术前任何裂孔均无法定位的患者的25只眼。所有患者均接受25G内照明器辅助裂孔定位。确定裂孔成功后，在手术显微镜下行冷冻治疗和标准巩膜扣带术。在2年结束时评估解剖和功能结果。
25只眼中有23只（92%）术中至少可定位一个裂孔。这些患者的中位年龄为46岁（范围：17 - 72岁）。13只眼（56.52%）为有晶状体眼，8只眼（34.78%）为人工晶状体眼，2只眼（8.6%）为无晶状体眼。接受EASB的23只眼中有22只（95.63%）实现了解剖成功（视网膜附着）。所有眼在2年结束时均保持附着状态。与术前视力（1.77±0.28最小分辨角对数[logMAR]）相比，随访结束时平均视力（VA）有显著改善（1.09±0.46 logMAR）（P<0.001）。
在简单视网膜脱离病例中，EASB可被视为玻璃体视网膜手术的有效替代方法，具有增强显微镜放大倍数和宽视野照明的额外优势。
