Pitcher John D, Khan Mohammed Ali, Storey Philip P, Hsiao-Fang-Yen Natalie, Dollin Michael L, Hsu Jason, Ho Allen C, Regillo Carl D, Garg Sunir J
Ophthalmic Surg Lasers Imaging Retina. 2015 May;46(5):566-70. doi: 10.3928/23258160-20150521-08.
To investigate outcomes of contemporary surgical techniques for repair of rhegmatogenous retinal detachments (RRD) associated with giant retinal tears (GRT).
Retrospective, consecutive case series including 58 eyes of 58 patients. Mean age was 52 years (range: 16 to 83 years). All patients underwent 23-gauge pars plana vitrectomy with use of perfluorocarbon liquid and intravitreal tamponade (28 with silicone oil, 25 with octafluoropropane gas, and five with sulfur hexafluoride gas). Scleral buckle (SB) was placed in 30 eyes (52%).
At a mean follow-up of 17 months, mean visual acuity improved from 20/500 preoperatively to 20/88 at final follow-up. Fifty-one patients (88%) had single-surgery anatomic success, and all patients achieved final retinal reattachment. Use of SB (P = 1.0), silicone oil (P = .1), or 360° endophotocoagulation (P = .7) did not correlate with higher rates of successful repair.
Contemporary vitreoretinal surgery techniques achieve high rates of primary anatomic success in GRT-related RRDs.
探讨当代手术技术修复与巨大视网膜裂孔（GRT）相关的孔源性视网膜脱离（RRD）的效果。
回顾性、连续性病例系列研究，纳入58例患者的58只眼。平均年龄52岁（范围：16至83岁）。所有患者均接受23G经平坦部玻璃体切除术，术中使用全氟碳液体及玻璃体腔内填充（28只眼使用硅油，25只眼使用八氟丙烷气体，5只眼使用六氟化硫气体）。30只眼（52%）放置了巩膜扣带（SB）。
平均随访17个月，平均视力从术前的20/500提高至末次随访时的20/88。51例患者（88%）单次手术获得解剖学成功，所有患者最终视网膜均复位。使用SB（P = 1.0）、硅油（P = 0.1）或360°眼内光凝（P = 0.7）与更高的成功修复率无关。
当代玻璃体视网膜手术技术在GRT相关的RRD中取得了较高的初次解剖学成功率。
