Abdelkader Amr Mohammed Elsayed, Abouelkheir Hossam Youssef
Department of ophthalmology, Lecturer of ophthalmology, Mansoura ophthalmic center, faculty of medicine, Mansoura university, Mansoura, Egypt.
Assistant professor of ophthalmology, Mansoura ophthalmic center, faculty of medicine, Mansoura university, Mansoura, Egypt.
Int J Retina Vitreous. 2020 Sep 14;6:41. doi: 10.1186/s40942-020-00247-8. eCollection 2020.
To evaluate the effectiveness of face up position (FUP) following pars plana vitrectomy (PPV) and silicone oil injection in cases of rhegmatogenous retinal detachment (RRD) with multiple peripheral and inferior breaks.
Thirty-two eyes of 32 patients with RRD due to multiple peripheral breaks were managed with PPV and silicone oil as endotamponade. Postoperatively, all patients were instructed to assume face up (supine) position for at least 10 days. Silicone oil was removed 3 to 6 months postoperatively in eyes with attached retina and the patients were followed up for 6 months.
Thirty eyes (94%) got a successful attachment of the retina and remained attached after silicone oil removal. One case showed lower redetachment under silicone oil while the other case showed recurrent RRD after silicone oil removal.
Although postoperative FUP is not a popular one, it is effective in the treatment of RRD with peripheral breaks whatever the number or the distribution of these breaks. This may in some way or another change the traditional trends of postoperative positioning after vitrectomy for RRD.
评估在伴有多个周边及下方裂孔的孔源性视网膜脱离（RRD）病例中，玻璃体切割术（PPV）联合硅油注入术后采用仰卧位（FUP）的有效性。
对32例因多个周边裂孔导致RRD的患者的32只眼进行PPV联合硅油作为眼内填充物治疗。术后，所有患者均被要求保持仰卧位至少10天。视网膜复位的眼中，术后3至6个月取出硅油，并对患者进行6个月的随访。
30只眼（94%）视网膜成功复位，且在取出硅油后仍保持附着。1例在硅油填充下出现较低程度的视网膜再脱离，另1例在取出硅油后出现RRD复发。
尽管术后仰卧位并不常用，但无论周边裂孔的数量或分布如何，它在治疗伴有周边裂孔的RRD中是有效的。这可能会在某种程度上改变RRD玻璃体切除术后传统的体位趋势。
