Khan M Ali, Samara Wasim A, Hsu Jason, Garg Sunir
The Retina Service of Wills Eye Hospital, Mid Atlantic Retina, Thomas Jefferson University, Philadelphia, Pennsylvania.
Doheny and Stein Eye Institutes, David Geffen School of Medicine at UCLA, Los Angeles, California.
Retin Cases Brief Rep. 2019;13(3):244-247. doi: 10.1097/ICB.0000000000000571.
To describe the short-term outcomes of complex diabetic retinal detachment repair using hybrid 23-gauge or 25-gauge vitrectomy instruments with a 27-gauge vitrectomy system.
Retrospective, interventional, consecutive case series. Ten eyes of 10 patients undergoing hybrid pars plana vitrectomy for diabetic tractional retinal detachment were reviewed.
Combined use of 25-gauge and 27-gauge instrumentation was used in 8 of 10 eyes and combined use of 23-gauge and 27-gauge instrumentation in 2 of 10 eyes. In all cases, a 27-gauge vitreous cutter was used for membrane dissection and delamination. All eyes had successful anatomical reattachment at a mean follow-up of 207 ± 55 days. Snellen visual acuity improved from a mean of 20/822 preoperatively to 20/566 at the final follow-up (P = 0.55). Mean intraocular pressure remained stable at 13 ± 3.4 mmHg preoperatively to 13.6 ± 5.4 mmHg at the final follow-up (P = 0.76). No intraoperative or postoperative complications were encountered.
Concurrent use of the 27-gauge vitreous cutter with 23-gauge or 25-gauge instrumentation was effective during diabetic tractional retinal detachment repair. This hybrid technique was not associated with any significant intraoperative or short-term postoperative complications.
描述使用混合23号或25号玻璃体切割器械与27号玻璃体切割系统进行复杂糖尿病性视网膜脱离修复的短期效果。
回顾性、介入性、连续病例系列研究。对10例接受混合式玻璃体切除术治疗糖尿病性牵拉性视网膜脱离的患者的10只眼进行了回顾。
10只眼中8只联合使用了25号和27号器械，10只眼中2只联合使用了23号和27号器械。在所有病例中，均使用27号玻璃体切割器进行膜的剥离和分层。所有患眼在平均207±55天的随访期内均实现了成功的解剖复位。Snellen视力从术前平均20/822提高到末次随访时的20/566（P = 0.55）。平均眼压术前稳定在13±3.4 mmHg，末次随访时为13.6±5.4 mmHg（P = 0.76）。未发生术中或术后并发症。
在糖尿病性牵拉性视网膜脱离修复术中，同时使用27号玻璃体切割器与23号或25号器械是有效的。这种混合技术未出现任何显著的术中或短期术后并发症。
