巩膜环扎带对糖尿病性视网膜病变的进展是否具有保护作用？
Does the scleral encircling band provide a protective effect against the progression of diabetic retinopathy?
作者信息
Abouelkheir Hossam Youssef, Badawi Amani E, Abdelkader Amr M, El-Kanishy Amr, Saleh Sameh, Abou Samra Waleed Ali, Kasem Manal Ali, Mokbel Tharwat
机构信息
Mansoura Ophthalmic Center, Faculty of Medicine, Mansoura University, Mansoura 35516, Egypt.
出版信息
Int J Ophthalmol. 2019 Sep 18;12(9):1408-1414. doi: 10.18240/ijo.2019.09.06. eCollection 2019.
AIM
To evaluate the effect of scleral encircling bands on the development and progression of diabetic retinopathy (DR) in diabetic patients.
METHODS
The medical records of diabetic patients who underwent unilateral retinal detachment (RD) surgery using scleral buckle and encircling band were reviewed retrospectively. Both eyes of patients were included in the study: one eye in each patient had a scleral buckle with encircling band (the operated eye) and the other one is the non-operated eye. The demographic characters, duration of diabetes and period between surgery and the last recall visit were retrieved from each patient. All the cases underwent fundus photo and fluorescein angiography (when indicated) to confirm the DR staging.
RESULTS
Totally 25 patients fulfilled the inclusion and the exclusion criteria were become eligible for the study. A total of 50 eyes of 25 patients were enrolled in this analysis. The mean period of time passed from surgery with encircling band and the last reassessment visit was 12.5±2y. Even though DR could develop in the operated eyes, it was at a less degree of severity compared to the non-operated eyes of same patients (=0.027).
CONCLUSION
Scleral encircling bands have protective effects against the development and progression of DR.
目的
评估巩膜环扎带对糖尿病患者糖尿病视网膜病变（DR）发生及进展的影响。
方法
回顾性分析接受巩膜扣带联合环扎带的单侧视网膜脱离（RD）手术的糖尿病患者的病历。患者的双眼均纳入研究：每位患者的一只眼接受巩膜扣带联合环扎带手术（手术眼），另一只眼为未手术眼。收集每位患者的人口统计学特征、糖尿病病程以及手术至最后一次复诊的时间。所有病例均进行眼底照相及荧光素血管造影（必要时）以确定DR分期。
结果
共有25例患者符合纳入及排除标准，纳入本研究。本分析共纳入25例患者的50只眼。从行环扎带手术至最后一次重新评估的平均时间为12.5±2年。尽管手术眼可发生DR，但其严重程度低于同一患者的未手术眼（P=0.027）。
结论
巩膜环扎带对DR的发生及进展具有保护作用。
Zotero 插件