环形窄带术与扣带术治疗伴有基底部内或隐匿性视网膜裂孔的视网膜脱离

Encircling Narrow Band versus Buckle for Retinal Detachments with Intrabasal or Unseen Retinal Breaks.

作者信息

Banaee Touka, Hosseini Seyedeh Maryam, Helmi Toktam, Ghooshkhanei Haleh

机构信息

Retina Research Center, Khatam-Al-Anbia Eye Hospital, Mashhad University of Medical Sciences, Mashhad, Iran.

出版信息

J Ophthalmic Vis Res. 2015 Jan-Mar;10(1):55-9. doi: 10.4103/2008-322X.156112.

DOI:10.4103/2008-322X.156112

PMID:26005554

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4424720/

Abstract

PURPOSE

To compare the results of narrow encircling band surgery with standard encircling scleral buckling for retinal detachments (RDs) with intrabasal or unseen breaks.

METHODS

In a retrospective study, eyes with intrabasal or unseen breaks underwent narrow band implantation (group N) or standard encircling buckling plus wide tire placement (group W) and were followed for at least one year.

RESULTS

A total of 112 eyes including 39 eyes in group N and 73 eyes in group W were studied. Preoperatively visual acuity of eyes in group N was significantly better (1.55 ± 0.9 vs. 1.93 ± 0.9 logMAR, P = 0.043). The two study groups (N and W) were comparable in terms of the extent of RD (2.8 ± 0.96 vs. 2.8 ± 0.93 quadrants), interval to surgery (88.3 ± 176.4 vs. 71.9 ± 135.4 days) and percentage of visible breaks (56.4% vs. 63%), respectively (all P values > 0.05). More atrophic holes were present in group W and more dialyses were reported in group N. The single operation success rate at 12 months was 69.2% in group N and 74% in group W (P = 0.1). The single operation success rate for eyes with unseen breaks was also comparable (66.7% vs. 85.7%, P = 0.157). Final corrected visual acuity was also similar (0.63 ± 0.44 vs. 0.85 ± 0.69 log MAR). The only factor influencing success rate was the type of retinal breaks (P = 0.04). Type of scleral buckling did not affect the single operation success rate (P = 0.460).

CONCLUSION

Narrow encircling band surgery is a possible option with acceptable single operation success rate for RDs with intrabasal or unseen breaks.

摘要

目的

比较窄环扎带手术与标准巩膜环扎术治疗伴有基底内或隐匿性裂孔的视网膜脱离（RD）的效果。

方法

在一项回顾性研究中，对伴有基底内或隐匿性裂孔的眼睛进行窄带植入（N组）或标准环扎加宽轮胎放置（W组），并随访至少一年。

结果

共研究了112只眼，其中N组39只眼，W组73只眼。术前N组眼的视力明显更好（1.55±0.9对1.93±0.9 logMAR，P = 0.043）。两个研究组（N组和W组）在RD范围（2.8±0.96对2.8±0.93象限）、手术间隔时间（88.3±176.4对71.9±135.4天）和可见裂孔百分比（56.4%对63%）方面分别具有可比性（所有P值>0.05）。W组存在更多萎缩性裂孔，N组报告了更多的视网膜脱离。N组12个月时的单次手术成功率为69.2%，W组为74%（P = 0.1）。隐匿性裂孔眼的单次手术成功率也具有可比性（66.7%对85.7%，P = 0.157）。最终矫正视力也相似（0.63±0.44对0.85±0.69 log MAR）。影响成功率的唯一因素是视网膜裂孔类型（P = 0.04）。巩膜环扎类型不影响单次手术成功率（P = 0.460）。