硅油取出术后视网膜再脱离的危险因素：一项系统评价和荟萃分析。

Risk Factors for Retinal Redetachment After Silicone Oil Removal: A Systematic Review and Meta-Analysis.

作者信息

He Yueqing, Zeng Shaoxue, Zhang Yunni, Zhang Junjun

出版信息

Ophthalmic Surg Lasers Imaging Retina. 2018 Jun 1;49(6):416-424. doi: 10.3928/23258160-20180601-06.

DOI:10.3928/23258160-20180601-06

PMID:29927469

Abstract

BACKGROUND AND OBJECTIVE

This systematic review and meta-analysis was made to measure risk factors for retinal redetachment (re-RD) after silicone oil removal (SOR) in a quantitative method.

PATIENTS AND METHODS

A comprehensive literature review relating to risk factors for re-RD after SOR was conducted before March 2017. Odds ratio (OR) with 95% confidence interval (CI) was calculated after data combination.

RESULTS

Sixteen studies were included, and risk factors with significant differences found between the re-RD and control groups are as follows: aphakic eye (OR = 1.50), high myopia (OR = 2.47), previous failed retinal surgery (OR = 1.71), and ocular trauma (OR = 3.52). Peripheral 360° laser retinopexy (OR = 0.40) and scleral encircling band (OR = 0.58) were found to be protective factors of re-RD after SOR.

CONCLUSION

Aphakic eye, high myopia, previous failed retinal surgery, ocular trauma, lack of 360° laser, and scleral encircling band were possible risk factors relating to the occurrence of re-RD after SOR. [Ophthalmic Surg Lasers Imaging Retina. 2018;49:416-424.].

摘要

背景与目的

本系统评价和荟萃分析旨在采用定量方法评估硅油取出术（SOR）后视网膜再脱离（re-RD）的危险因素。

患者与方法

于2017年3月前对SOR后re-RD的危险因素进行了全面的文献综述。数据合并后计算比值比（OR）及95%置信区间（CI）。

结果

纳入16项研究，re-RD组与对照组之间存在显著差异的危险因素如下：无晶状体眼（OR = 1.50）、高度近视（OR = 2.47）、既往视网膜手术失败（OR = 1.71）和眼外伤（OR = 3.52）。发现周边360°激光视网膜光凝术（OR = 0.40）和巩膜环扎带（OR = 0.58）是SOR后re-RD的保护因素。