Ghoraba Hammouda Hamdy, Mansour Hosam Othman, Abdelhafez Mohamed Ahmed, El Gouhary Sameh Mohamed, Zaky Adel Galal, Heikal Mohamed Amin, Ghali Ali Ahmed Ali
Magrabi Eye Hospital, Tanta, Egypt.
Tanta University, Tanta, Egypt.
Clin Ophthalmol. 2020 Oct 13;14:3271-3277. doi: 10.2147/OPTH.S275778. eCollection 2020.
To compare anatomical and visual results of pars plana vitrectomy (PPV) with or without additional encircling band in the management of pediatric traumatic rhegmatogenous retinal detachment (RD) in a tertiary referral center.
A retrospective review of children diagnosed with traumatic rhegmatogenous retinal detachment treated by pars plana vitrectomy with or without encircling band.
One hundred thirty-nine eyes of 139 children diagnosed with traumatic rhegmatogenous retinal detachment. Surgeries were performed between May 2011 and November 2016. Patients were followed up for at least 18 months after last intervention. The included eyes were categorized into two groups. Group A (vitrectomy with additional encircling band) included 72 eyes of 72 children; 58 boys and 14 girls. Group B (vitrectomy without encircling band) included 67 eyes of 67 children; 58 boys and 9 girls. In group A, the mean age was 9.21±3.24. Attached retina was achieved in 61% (44 out of 72 eyes), of which 34 eyes remained attached after silicon oil removal, and 10 eyes remained attached under silicon oil tamponade. Recurrent RD under oil was present in 28 eyes (38.9%). In group B, the mean age was 11.06±3.64. Attached retina was present in 61.2% (41 out of 67 eyes), of which 30 eyes remained attached after oil removal, and 11 eyes remained attached under silicon oil tamponade. Recurrent RD was present in 26 eyes (38.8%). In group A, the final visual acuity (VA) ranged from NLP to 0.5; 58.7% of patients achieved VA more than counting fingers at 1 meter, and 34.6% of patients achieved VA of 0.05 or more. In group B, the final postoperative VA ranged from NLP to 0.9; 16% of patients achieved VA from counting fingers at 1 meter to 0.05, and 29.2% achieved VA of 0.05 or more.
Although no statistically significant difference between the two groups (combined vitrectomy and encircling band versus vitrectomy alone in pediatric traumatic retinal detachment), it is wise to consider adding encircling band in severe trauma cases.
在一家三级转诊中心比较有或没有附加环扎带的玻璃体切割术（PPV）在治疗儿童外伤性孔源性视网膜脱离（RD）中的解剖学和视觉效果。
回顾性分析诊断为外伤性孔源性视网膜脱离并接受有或没有环扎带的玻璃体切割术治疗的儿童。
139例诊断为外伤性孔源性视网膜脱离的儿童共139只眼。手术于2011年5月至2016年11月期间进行。患者在最后一次干预后至少随访18个月。纳入的眼睛分为两组。A组（玻璃体切割术附加环扎带）包括72例儿童的72只眼；58例男孩和14例女孩。B组（玻璃体切割术不附加环扎带）包括67例儿童的67只眼；58例男孩和9例女孩。A组平均年龄为9.21±3.24岁。61%（72只眼中的44只）实现视网膜复位，其中34只眼在硅油取出后保持复位，10只眼在硅油填充下保持复位。28只眼（38.9%）出现硅油填充下复发性视网膜脱离。B组平均年龄为11.06±3.64岁。61.2%（67只眼中的41只）出现视网膜复位，其中30只眼在硅油取出后保持复位，11只眼在硅油填充下保持复位。26只眼（38.8%）出现复发性视网膜脱离。A组最终视力（VA）范围从无光感到0.5；58.7%的患者视力达到1米处数指以上，34.6%的患者视力达到0.05或更好。B组术后最终视力范围从无光感到0.9；16%的患者视力从1米处数指到0.05，29.2%的患者视力达到0.05或更好。
尽管两组（联合玻璃体切割术和环扎带与单纯玻璃体切割术治疗儿童外伤性视网膜脱离）之间无统计学显著差异，但在严重创伤病例中考虑附加环扎带是明智的。
