巩膜扣带拆除术后眼屈光不正和眼轴长度变化的评估。
The evaluation of ocular refractive error and axial length changes after scleral buckle removal.
作者信息
Hosein Ahoor M, Rana Sorkhabi, Amir Eftekhari M, Habib Ojaghi, Amin Najafi
机构信息
Department of Ophthalmology, Tabriz University of Medical Sciences, Nikookari Eye Hospital, Tabriz, Iran.
Department of Ophthalmology, Ardabil University of Medical Sciences, Emam Reza Hospital, Ardabil, Iran.
出版信息
J Family Med Prim Care. 2019 Sep 30;8(9):2950-2952. doi: 10.4103/jfmpc.jfmpc_557_19. eCollection 2019 Sep.
PURPOSE
The present study aimed to evaluate refractive error and axial length changes after buckle removal due to buckle complications.
METHODS
A total of 15 patients involved in this study. The enrolled patients who had history of scleral buckling (SB) for rhegmatogenous retinal detachment referred to clinic for buckle removal due to buckle-related complications. Complete ophthalmic examinations and IOLMaster (Carl Zeiss) device performed prior and 3 months after buckle removal. Also best corrected visual acuity (BCVA), refractive error and axial length changes evaluated after buckle removal.
RESULTS
BCVA, refractive error, and axial length changes were not statistically significant ( value: 0.24, 0.23, 0.33, respectively). No redetachment or any other complication was observed after buckle removal.
CONCLUSION
The study displayed induced globe shape changes due to SB are irreversible after buckle removal. In addition, it is a safe procedure and does not raise any risk of retinal redetachment.
目的
本研究旨在评估因扣带并发症而拆除扣带后屈光不正和眼轴长度的变化。
方法
本研究共纳入15例患者。纳入的患者有孔源性视网膜脱离巩膜扣带术（SB）史，因扣带相关并发症到诊所进行扣带拆除。在扣带拆除前和拆除后3个月进行全面的眼科检查并使用IOLMaster（卡尔蔡司）设备。同时评估扣带拆除后的最佳矫正视力（BCVA）、屈光不正和眼轴长度变化。
结果
BCVA、屈光不正和眼轴长度变化无统计学意义（P值分别为0.24、0.23、0.33）。扣带拆除后未观察到视网膜再脱离或任何其他并发症。
结论
该研究表明，因巩膜扣带术导致的眼球形状改变在扣带拆除后是不可逆的。此外，这是一种安全的手术，不会增加视网膜再脱离的风险。
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