巩膜扣带术治疗伴有视网膜下增殖的孔源性视网膜脱离。
Scleral buckling surgery for rhegmatogenous retinal detachment with subretinal proliferation.
作者信息
Ghasemi Falavarjani K, Alemzadeh S A, Modarres M, Parvaresh M M, Hashemi M, Naseripour M, Nazari Khanamiri H, Askari S
机构信息
Eye Research Center, Eye Department, Rassoul Akram Hospital, Iran University of Medical Sciences, Tehran, Iran.
Medical Student Research Committee, Iran University of Medical Sciences, Tehran, Iran.
出版信息
Eye (Lond). 2015 Apr;29(4):509-14. doi: 10.1038/eye.2014.341. Epub 2015 Jan 23.
PURPOSE
To evaluate the outcome of scleral buckling surgery in patients with rhegmatogenous retinal detachment (RRD) with subretinal proliferation.
METHODS
In this retrospective study, a chart review of all patients with RRD associated with subretinal proliferation who were primarily treated with scleral buckling procedure, from April 2007 to April 2014, was undertaken. Main outcome measures were anatomical retinal reattachment and visual acuity.
RESULTS
Forty-four eyes of 43 patients including 24 males and 19 females with a mean age of 26.5±13.1 years were evaluated. Immediately after the surgery, retina was reattached in all eyes. However, five eyes (11.3%) needed additional surgery for retinal redetachment. Single surgery anatomical success rate was 88.7%. Four eyes (9.1%), needed pars plana vitrectomy for the treatment of redetachment associated with proliferative vitreoretinopathy and scleral buckle revision surgery was successfully performed in the other eye. Best corrected visual acuity improved from 1.5±0.9 logMAR before surgery to 1.1±0.7 logMAR after surgery (P<0.001). An improvement in BCVA of >2 lines was found in 23 eyes (52.2%) and worsening of best corrected visual acuity of >2 lines was observed in 2 eyes (4.5%).
CONCLUSIONS
Scleral buckling surgery is highly successful in eyes with RRD associated with subretinal proliferation.
目的
评估巩膜扣带术治疗伴有视网膜下增殖的孔源性视网膜脱离（RRD）患者的疗效。
方法
在这项回顾性研究中，对2007年4月至2014年4月期间主要接受巩膜扣带术治疗的所有伴有视网膜下增殖的RRD患者的病历进行了回顾。主要观察指标为视网膜解剖复位和视力。
结果
评估了43例患者的44只眼，其中男性24例，女性19例，平均年龄26.5±13.1岁。术后即刻所有患眼视网膜均实现复位。然而，5只眼（11.3%）因视网膜再次脱离需要再次手术。单次手术的解剖复位成功率为88.7%。4只眼（9.1%）因增殖性玻璃体视网膜病变相关的视网膜脱离需要行玻璃体切割术，另一只眼成功进行了巩膜扣带修复手术。最佳矫正视力从术前的1.5±0.9 logMAR提高到术后的1.1±0.7 logMAR（P<0.001）。23只眼（52.2%）的最佳矫正视力提高超过2行，2只眼（4.5%）的最佳矫正视力下降超过2行。
结论
巩膜扣带术治疗伴有视网膜下增殖的RRD患眼成功率很高。
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