Mura Marco, Engelbrecht Leonore, de Smet Marc D, Schatz Patrik, Iannetta Danilo, Semidey Valmore A, Arevalo J Fernando
King Khaled Eye Specialist Hospital, Riyadh, Saudi Arabia.
Univerity of Illinois, Chicago, USA.
Am J Ophthalmol Case Rep. 2020 May 28;19:100739. doi: 10.1016/j.ajoc.2020.100739. eCollection 2020 Sep.
This study evaluates a new surgical technique consisting of minimal vitreous removal under air (minimal interface vitrectomy; MIV) to reduce postoperative complications while preserving the ability to address surgical factors at the retinal break.
This retrospective analysis examined the outcomes of minimal interface vitrectomies in consecutive cases, with a minimum 12-month follow-up period, of primary rhegmatogenous retinal detachment (RRD), recurrent RRD after pars plana vitrectomy (PPV), or failed surgery after primary scleral buckling surgery (SBS).
Twelve eyes of 12 patients with RRD underwent MIV. The total surgical duration was 190-300 s (mean, 245.25 s). Eight (66.7%) eyes were treated with cryotherapy, and 4 (33.3%) with endolaser to seal the retinal break. Successful, complete retinal reattachment was achieved in all eyes and maintained during follow-up. No intra- or postoperative complications occurred and no patients developed inflammation or cataract during follow-up.
We effectively removed traction and subretinal fluid and treated breaks with endolaser or cryotherapy by using a novel minimal interface vitrectomy technique in this selected population.
本研究评估一种新的手术技术，即在空气下进行最小量玻璃体切除（最小界面玻璃体切除术；MIV），以减少术后并发症，同时保留处理视网膜裂孔手术因素的能力。
这项回顾性分析检查了连续病例中最小界面玻璃体切除术的结果，这些病例包括原发性孔源性视网膜脱离（RRD）、玻璃体切割术后复发性RRD或原发性巩膜扣带术后手术失败，随访期至少12个月。
12例RRD患者的12只眼接受了MIV。手术总时长为190 - 300秒（平均245.25秒）。8只眼（66.7%）接受冷冻治疗，4只眼（33.3%）接受眼内激光治疗以封闭视网膜裂孔。所有眼均成功实现完全视网膜复位，并在随访期间保持。随访期间未发生术中或术后并发症，也没有患者出现炎症或白内障。
在这一特定人群中，我们通过使用一种新型最小界面玻璃体切除术技术，有效去除了牵引和视网膜下液，并用眼内激光或冷冻疗法治疗了裂孔。
