Altan Tugrul, Ozbilen Kemal Turgay, Cetin Turgay, Kapran Ziya
Ophthalmic Surg Lasers Imaging Retina. 2017 Jan 1;48(1):51-54. doi: 10.3928/23258160-20161219-07.
To evaluate the safety and efficacy of peripheral vitrectomy under air in rhegmatogenous retinal detachment (RRD).
Consecutive patients who underwent 23-gauge pars plana vitrectomy for RRD were included. After removal of core vitreous and drainage of subretinal fluid, peripheral vitreous was removed under air infusion without scleral indentation. Silicone oil or C3F8 gas was used as tamponade.
Forty-five eyes of 45 patients were evaluated retrospectively. Mean LogMAR, which was 1.65 LogMAR ± 1.44 LogMAR preoperatively, decreased to 0.26 LogMAR ± 0.28 LogMAR (P < .001; paired t-test). Initial and final reattachment rates were 91% and 98%, respectively. Scleral indentation was not necessary in any case. Iatrogenic retinal breaks occurred in three initial cases. Macular hole developed in one case after reoperation.
Peripheral vitrectomy under air is safe and effective in cases with RRD. Air eliminates the need for scleral indentation, stabilizes the retina, and allows sufficient clarity for vitrectomy. [Ophthalmic Surg Lasers Imaging Retina. 2017;48:51-54.].
评估气体填充下周边玻璃体切除术治疗孔源性视网膜脱离（RRD）的安全性和有效性。
纳入连续接受23G经睫状体平坦部玻璃体切除术治疗RRD的患者。切除核心玻璃体并引流视网膜下液后，在气体注入下切除周边玻璃体而不进行巩膜外加压。使用硅油或C3F8气体作为填充物。
对45例患者的45只眼进行回顾性评估。术前平均LogMAR为1.65 LogMAR±1.44 LogMAR，术后降至0.26 LogMAR±0.28 LogMAR（P <.001；配对t检验）。初始和最终复位率分别为91%和98%。所有病例均无需巩膜外加压。3例初始病例发生医源性视网膜裂孔。1例再次手术后出现黄斑裂孔。
气体填充下周边玻璃体切除术治疗RRD安全有效。气体消除了巩膜外加压的需要，稳定了视网膜，并为玻璃体切除术提供了足够的清晰度。[眼科手术、激光与影像学杂志。2017；48：51 - 54。]
