尼泊尔一家三级眼科中心采用巩膜扣带术治疗孔源性视网膜脱离的解剖学和视觉结果
Anatomical and Visual Outcome of Rhegmatogenous Retinal Detachment Managed with Scleral Buckling at a Tertiary Eye Centre in Nepal.
作者信息
Khanal Rijal Roshija, Byanju Raghunandan, Pandey Araniko, Mourya Deepesh
机构信息
Lumbini Eye Institute, Bhairahawa, Nepal.
出版信息
Nepal J Ophthalmol. 2018 Jul;10(20):151-155. doi: 10.3126/nepjoph.v10i2.18832.
OBJECTIVE
To study the anatomical status and visual outcome of scleral buckling surgery in rhegmatogenous retinal detachment (RRD) at tertiary eye care center in Nepal.
METHOD
This is a prospective, noncomparative, consecutive, interventional study of rhegmatogenous retinal detachment managed with scleral buckling surgery performed in Lumbini Eye Institute, Nepal. All the patients underwent surgery by a single experienced surgeon and had at least 3 months follow up.
RESULT
A total of 50 patients (50 eyes) were operated, 38 males and 12 females, with a mean age of 39.46. Retinal reattachment was achieved in 46 (92%). Improved best corrected visual acuity (BCVA) was seen in 84%, whereas in 8% BCVA was same and deteriorated in another 8%.
CONCLUSION
Rhegmatogenous retinal detachment is one of the common causes of visual impairment and blindness. Timely surgical management with scleral buckling surgery can give good anatomical and visual outcome.
目的
研究尼泊尔三级眼科护理中心孔源性视网膜脱离（RRD）巩膜扣带术的解剖学状况及视觉效果。
方法
这是一项在尼泊尔蓝毗尼眼科研究所进行的关于采用巩膜扣带术治疗孔源性视网膜脱离的前瞻性、非对比性、连续性、干预性研究。所有患者均由同一位经验丰富的外科医生进行手术，且至少随访3个月。
结果
共对50例患者（50只眼）进行了手术，其中男性38例，女性12例，平均年龄39.46岁。46例（92%）实现视网膜复位。84%的患者最佳矫正视力（BCVA）有所改善，8%的患者BCVA不变，另有8%的患者BCVA恶化。
结论
孔源性视网膜脱离是视力损害和失明的常见原因之一。及时采用巩膜扣带术进行手术治疗可获得良好的解剖学和视觉效果。
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