不同术后体位黄斑脱离视网膜脱离患者的光学相干断层扫描评估：一项随机试验研究
Optical coherence tomography evaluation of patients with macula-off retinal detachment after different postoperative posturing: a randomized pilot study.
作者信息
Peiretti Enrico, Nasini Francesco, Buschini Elisa, Caminiti Giulia, Lesnik Oberstein Sarit Y, Willig Alissa, Bijl Heico M, Mura Marco
机构信息
Eye Clinic, University of Cagliari, Cagliari, Italy.
Department of Surgical, Medical, Molecular and Critical Area Pathology, University of Pisa, Pisa, Italy.
出版信息
Acta Ophthalmol. 2017 Aug;95(5):e379-e384. doi: 10.1111/aos.13397. Epub 2017 Apr 26.
PURPOSE
To assess the presence of outer and inner retinal folds (RFs) and drop-out of the ellipsoid zone (EZ) occurring after surgical repair of macula-off rhegmatogenous retinal detachment (RRD) with different postoperative posture and preoperative use of adjuvant perfluorocarbon liquid (PFCO).
METHODS
In this prospective study, 56 eyes of 56 consecutive patients affected by RRD were subjected to 23- or 25-gauge pars plana vitrectomy (PPV). The patients were randomized in four groups (14 prone 5 hr without PFCO, 14 supine 5 hr without PFCO, 14 prone 5 hr with PFCO and 14 supine 5 hr with PFCO) and followed up with spectral domain optical coherence tomography (SD-OCT).
RESULTS
Spectral domain optical coherence tomography (SD-OCT) was recorded before surgery, at days 30 and 90 to detect the presence of outer RFs, inner RFs and drop-out of EZ and to follow their variation over time. No statistical significance was found in our groups for outer RFs, inner RFs, drop-out of EZ formation and evolution. The postoperative best-corrected visual acuity (BCVA) improved in all groups (mean preoperative BCVA 1.47 logMar ± 0.19, mean postoperative BCVA 0.27 logMar ± 0.11, p < 0.01), without statistical variations between the four groups in BCVA after surgery.
CONCLUSION
The use of adjuvant and variation in postoperative position did not change the risk of presenting outer RFs, inner RFs and drop-out of EZ after RRD.
目的
评估不同术后体位及术前使用辅助全氟碳液（PFCO）治疗黄斑脱离性孔源性视网膜脱离（RRD）手术修复后视网膜外层和内层皱褶（RFs）的存在情况以及椭圆体带（EZ）的缺失情况。
方法
在这项前瞻性研究中，对56例连续患有RRD的患者的56只眼进行了23G或25G玻璃体切除术（PPV）。患者被随机分为四组（14例俯卧5小时不使用PFCO，14例仰卧5小时不使用PFCO，14例俯卧5小时使用PFCO，14例仰卧5小时使用PFCO），并采用频域光学相干断层扫描（SD - OCT）进行随访。
结果
在手术前、术后30天和90天记录频域光学相干断层扫描（SD - OCT），以检测外层RFs、内层RFs的存在以及EZ的缺失情况，并跟踪其随时间的变化。在我们的研究组中，外层RFs、内层RFs、EZ缺失的形成和演变均未发现统计学意义。所有组的术后最佳矫正视力（BCVA）均有改善（术前平均BCVA为1.47 logMar ± 0.19，术后平均BCVA为0.27 logMar ± 0.11，p < 0.01），四组术后BCVA之间无统计学差异。
结论
辅助剂的使用和术后体位的改变并未改变RRD后出现外层RFs、内层RFs和EZ缺失的风险。
Zotero 插件