Department of Ophthalmology & Vision Science, University of California, Davis, Sacramento, California.
Chicago Medical School, Rosalind Franklin University, Chicago, Illinois.
Retina. 2019 Jan;39(1):186-192. doi: 10.1097/IAE.0000000000001932.
To evaluate the anatomical and visual outcomes of patients who underwent pneumatic retinopexy by vitreoretinal fellows.
We included 198 eyes (198 patients) that underwent pneumatic retinopexy by vitreoretinal fellows at a single academic institution between November 2002 and June 2016. Main outcomes were single-operation success and final anatomical success in retinal reattachment, as well as visual acuity at 3 months and 6 months after treatment.
Single-operation success rate was 63.6% at 3 months and 59.5% at 6 months. Final anatomical reattachment was achieved in 92.9% (n = 184) and 96.6% (n = 143) at 3 months and 6 months, respectively. Logarithm of the minimum angle of resolution visual acuity improved from 0.72 ± 0.1 (∼20/100 Snellen) at baseline to 0.36 ± 0.06 (∼20/40 Snellen) at 6 months (P < 0.001). There was no statistical difference in anatomical success rates or visual outcomes between cases performed by first- or second-year fellows (P > 0.50). Single-operation success was associated only with size of detachment (P = 0.01). Visual outcome was associated with macula status at baseline (P = 0.032) and number of reoperations (P < 0.001).
Anatomical and visual outcomes of fellow-performed pneumatic retinopexy are comparable with those reported in the previous literature.
评估玻璃体视网膜住院医师施行的气压性视网膜光凝术的解剖学和视觉结果。
我们纳入了 2002 年 11 月至 2016 年 6 月期间在一家学术机构接受玻璃体视网膜住院医师施行的气压性视网膜光凝术的 198 只眼（198 例患者）。主要结局是视网膜复位的单次手术成功率和最终解剖学成功率，以及治疗后 3 个月和 6 个月的视力。
3 个月时单次手术成功率为 63.6%，6 个月时为 59.5%。3 个月和 6 个月时最终解剖复位分别达到 92.9%（n=184）和 96.6%（n=143）。最小分辨角对数视力从基线时的 0.72±0.1（约 20/100 视力表）提高到 6 个月时的 0.36±0.06（约 20/40 视力表）（P＜0.001）。由第一年和第二年住院医师施行的病例在解剖成功率或视觉结果方面无统计学差异（P＞0.50）。单次手术成功率仅与脱离范围相关（P=0.01）。视觉结果与基线时黄斑状态相关（P=0.032），与再次手术次数相关（P＜0.001）。
住院医师施行的气压性视网膜光凝术的解剖学和视觉结果与先前文献报道的结果相当。
