应用钟摆式巩膜扣带术的非接触广角可视化技术治疗原发性单纯孔源性视网膜脱离。
Non-contact wide-angled visualization with chandelier-assisted scleral buckling for primary uncomplicated rhegmatogenous retinal detachment.
机构信息
Clinica Ricardo Palma, Lima, Perú.
Vision Institute, Department of Ophthalmology, School of Medicine, Federal University of Sao Paulo, Sao Paulo, Brazil.
出版信息
Graefes Arch Clin Exp Ophthalmol. 2020 Sep;258(9):1857-1861. doi: 10.1007/s00417-020-04737-1. Epub 2020 May 14.
PURPOSE
To report our experience in non-contact wide-angled visualization with chandelier-assisted scleral buckling (SB) in uncomplicated primary rhegmatogenous retinal detachments (RRD).
METHODS
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.
RESULTS
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.
CONCLUSION
Non-contact wide-angled visualization with chandelier-assisted SB compares favorably with conventional SB for primary uncomplicated primary RRD.
目的
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。
方法
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。
结果
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。
结论
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。
Zotero 插件