Clinica Ricardo Palma, Lima, Perú.
Vision Institute, Department of Ophthalmology, School of Medicine, Federal University of Sao Paulo, Sao Paulo, Brazil.
Graefes Arch Clin Exp Ophthalmol. 2020 Sep;258(9):1857-1861. doi: 10.1007/s00417-020-04737-1. Epub 2020 May 14.
To report our experience in non-contact wide-angled visualization with chandelier-assisted scleral buckling (SB) in uncomplicated primary rhegmatogenous retinal detachments (RRD).
Retrospective case series of 282 eyes that underwent non-contact wide-angled visualization with chandelier-assisted SB and were followed for a mean of 13.5 months.
There were 160 male patients. The average age was 42.6 years old. There were 262 eyes that were phakic, 18 pseudophakic, and 2 aphakic. Two-thirds of eyes presented with the macula detached. Eyes had an average of 1.6 breaks. The single operation anatomic success rate was 85.1% (240/282). The pre-op visual acuity improved from 1.21 to 0.76 logMAR at 6 months (p < 0.0001). Complications included a case of scleral laceration, choroidal hemorrhage, 3 epiretinal membranes, 1 macular fold, and 4 eyes with buckle exposure.
Non-contact wide-angled visualization with chandelier-assisted SB compares favorably with conventional SB for primary uncomplicated primary RRD.
报告我们在无接触广角可视化下使用吊灯辅助巩膜扣带术（SB）治疗单纯原发性孔源性视网膜脱离（RRD）的经验。
回顾性系列病例 282 只眼，均行无接触广角可视化下使用吊灯辅助 SB 治疗，并随访平均 13.5 个月。
男性患者 160 例。平均年龄为 42.6 岁。有 262 只眼为晶状体眼，18 只为人工晶状体眼，2 只为无晶状体眼。2/3 的眼黄斑脱离。眼内平均有 1.6 个裂孔。单次手术解剖成功率为 85.1%（240/282）。术前视力从 1.21 提高到 6 个月时的 0.76 logMAR（p < 0.0001）。并发症包括 1 例巩膜撕裂、脉络膜出血、3 例视网膜内膜、1 例黄斑皱褶和 4 例巩膜扣带暴露。
与传统 SB 相比，无接触广角可视化下使用吊灯辅助 SB 治疗单纯原发性原发性 RRD 具有优势。
