连续163只患有各种玻璃体疾病的眼睛行27G玻璃体切割术的手术结果
SURGICAL OUTCOMES OF 27-GAUGE VITRECTOMY FOR A CONSECUTIVE SERIES OF 163 EYES WITH VARIOUS VITREOUS DISEASES.
作者信息
Yoneda Kazuhito, Morikawa Keisuke, Oshima Yusuke, Kinoshita Shigeru, Sotozono Chie
机构信息
*Department of Ophthalmology, Kyoto Prefectural University of Medicine, Kyoto, Japan; and †Oshima Eye Clinic, Osaka, Japan.
出版信息
Retina. 2017 Nov;37(11):2130-2137. doi: 10.1097/IAE.0000000000001442.
PURPOSE
To evaluate the safety and efficacy of 27-gauge vitrectomy for various vitreoretinal disorders.
METHODS
In this retrospective comparative study, 163 consecutive eyes with various diseases that underwent 27-gauge pars plana vitrectomy with or without ultraspeed transformer by a single surgeon from June 2012 through December 2014 were analyzed in regard to best-corrected visual acuity, intraocular pressure, intraoperative and postoperative complications, and surgery time.
RESULTS
In 2 eyes (1.2%), peripheral retina breaks were encountered intraoperatively, yet no other complications were found in those eyes. No cases required larger-gauge vitrectomy. Mean best-corrected visual acuity improved from 20/58 (logarithm of the minimum angle of resolution, 0.46 ± 0.64) preoperatively to 20/32 (logarithm of the minimum angle of resolution, 0.20 ± 0.40) postoperatively (P < 0.001). Mean follow-up was 16.7 months (range, 6-33 months). Intraocular pressure remained stable throughout the postoperative course. Hypotony was seen in 15 eyes (9.2%) at 1-day postoperative, yet that spontaneously improved within 1 week. No case of retinal detachment or endophthalmitis was recorded. In macular surgeries, such as idiopathic epiretinal membrane and macular hole combined with cataract surgery, the mean surgery time was 32.1 ± 6.9 minutes with ultraspeed transformer (n = 38) and 37.1 ± 7.7 minutes without ultraspeed transformer (n = 40) (P = 0.004).
CONCLUSION
The 27-gauge pars plana vitrectomy was found to be safe and effective for treating various vitreoretinal disorders.
目的
评估27G玻璃体切除术治疗各种玻璃体视网膜疾病的安全性和有效性。
方法
在这项回顾性对照研究中，对2012年6月至2014年12月期间由同一位外科医生连续进行27G玻璃体切除术（有或无超高速变压器）的163例患有各种疾病的患眼进行分析，内容包括最佳矫正视力、眼压、术中及术后并发症和手术时间。
结果
2只眼（1.2%）术中出现周边视网膜裂孔，但这些眼中未发现其他并发症。无需进行更大规格的玻璃体切除术。平均最佳矫正视力从术前的20/58（最小分辨角对数，0.46±0.64）提高到术后的20/32（最小分辨角对数，0.20±0.40）（P<0.001）。平均随访时间为16.7个月（范围6 - 33个月）。术后眼压在整个过程中保持稳定。术后1天有15只眼（9.2%）出现低眼压，但在1周内自行改善。未记录到视网膜脱离或眼内炎病例。在黄斑手术中，如特发性视网膜前膜和黄斑裂孔合并白内障手术，使用超高速变压器时平均手术时间为32.1±6.9分钟（n = 38），未使用超高速变压器时为37.1±7.7分钟（n = 40）（P = 0.004）。
结论
27G玻璃体切除术被认为治疗各种玻璃体视网膜疾病安全有效。
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