Eiger-Moscovich Maya, Gershoni Assaf, Axer-Siegel Ruth, Weinberger Dov, Ehrlich Rita
a Department of Ophthalmology , Rabin Medical Center - Beilinson Hospital , Petach Tikva , Israel.
b Sackler Faculty of Medicine , Tel Aviv University , Tel Aviv , Israel.
Curr Eye Res. 2017 Jul;42(7):1074-1078. doi: 10.1080/02713683.2016.1266664. Epub 2017 Feb 3.
To study the efficacy and outcomes of short-term postoperative vitreoretinal tamponade with perfluorocarbon heavy liquid in patients with giant retinal tear.
The study group consisted of 13 consecutive patients (13 eyes) who presented with giant retinal tear at a tertiary medical center in 2011-2015 and were treated with vitrectomy followed by short-term tamponade with perfluorocarbon heavy liquid. A minimum of 3 months' follow-up was required for inclusion. The medical charts were retrospectively reviewed for patient demographics, procedural specifics, anatomical attachment rates, pre- and postoperative visual acuity, and postoperative complications.
The duration of perfluorocarbon tamponade ranged from 6 to 13 days (mean ± SD 10 ± 2 days). Follow-up time ranged from 3 to 44 months (mean ± SD 11 ± 11 months). Retinal reattachment was achieved intraoperatively in all patients. Repeated detachment with proliferative vitreoretinopathy occurred in one patient (8%), who underwent repeated vitrectomies. At the last follow-up visit, the retina was attached in all patients. Best-corrected visual acuity improved postoperatively compared with preoperatively in all three patients with macula-off retinal detachment (100%) and was equal to or better than the initial best-corrected visual acuity in 6 (60%) of the 10 patients with macula-on retinal detachment. Complications included increased intraocular pressure, cataract, and cystoid macular edema.
Perfluorocarbon heavy liquid is a safe and effective material for short-term vitreoretinal tamponade following vitrectomy for giant retinal tear.
研究全氟碳重液在巨大视网膜裂孔患者术后短期玻璃体视网膜填塞中的疗效及预后。
研究组由2011年至2015年在一家三级医疗中心就诊的13例连续患者（13只眼）组成，这些患者均患有巨大视网膜裂孔，并接受了玻璃体切除术，随后用全氟碳重液进行短期填塞。纳入研究要求至少随访3个月。对病历进行回顾性分析，记录患者人口统计学资料、手术细节、视网膜复位率、术前和术后视力以及术后并发症。
全氟碳填塞时间为6至13天（平均±标准差10±2天）。随访时间为3至44个月（平均±标准差11±11个月）。所有患者术中均实现视网膜复位。1例患者（8%）发生增殖性玻璃体视网膜病变导致视网膜再次脱离，该患者接受了再次玻璃体切除术。在最后一次随访时，所有患者视网膜均已复位。3例黄斑脱离的患者术后最佳矫正视力均较术前提高（100%），10例黄斑在位的患者中有6例（60%）术后最佳矫正视力等于或优于初始最佳矫正视力。并发症包括眼压升高、白内障和黄斑囊样水肿。
全氟碳重液是巨大视网膜裂孔玻璃体切除术后短期玻璃体视网膜填塞的一种安全有效的材料。
