巩膜环扎术后青光眼的长期风险

Long-term risk of glaucoma after encircling scleral buckle.

作者信息

Pinninti Usha R, McPherson Alice R, Carvounis Petros E

机构信息

Cullen Eye Institute, Baylor College of Medicine, Houston, Texas.

出版信息

Retina. 2015 Jun;35(6):1084-6. doi: 10.1097/IAE.0000000000000444.

DOI:10.1097/IAE.0000000000000444

PMID:25545480

Abstract

PURPOSE

To determine the long-term risk of developing glaucoma after an encircling scleral buckle procedure.

METHODS

Retrospective case series of patients with at least 10 years of follow-up who underwent successful, unilateral retinal detachment repair by encircling scleral buckle. The main outcome measure was the proportion of eyes that developed perimetric glaucoma of buckled compared with fellow eyes.

RESULTS

Sixty-eight patients with an average postoperative follow-up of 21 years were included. Perimetric glaucoma developed in 13% (9 patients), and an additional 22% (15 patients) had preperimetric glaucoma or were glaucoma suspects. Perimetric glaucoma was present in 2.9% of patients in the buckled eye only, 8.8% in the fellow eye only (P = 0.27), and 1.3% in both eyes. There was no increased prevalence of ocular antihypertensive use in buckled (5.9%) compared with fellow eyes (11.8%, P = 0.36).

CONCLUSION

Our study showed no evidence of increased risk for developing glaucoma after repair of retinal detachment in eyes that underwent an encircling scleral buckling technique compared with fellow eyes with follow-up of at least 10 years.

摘要

目的

确定巩膜环扎术后发生青光眼的长期风险。

方法

对至少随访10年、通过巩膜环扎术成功进行单侧视网膜脱离修复的患者进行回顾性病例系列研究。主要观察指标是与对侧眼相比，发生视野性青光眼的巩膜环扎眼的比例。

结果

纳入68例患者，术后平均随访21年。13%（9例）发生视野性青光眼，另外22%（15例）有视野前青光眼或为青光眼可疑患者。仅巩膜环扎眼发生视野性青光眼的患者占2.9%，仅对侧眼发生的占8.8%（P = 0.27），双眼均发生的占1.3%。与对侧眼（11.8%）相比，巩膜环扎眼使用降眼压药物的比例没有增加（5.9%，P = 0.36）。