影响微切口玻璃体切割手术联合液-气交换后气体填充的因素。
Factors impacting gas fill after microincision vitrectomy surgery combined with fluid-gas exchange.
作者信息
Li Meng-Syuan, Horng Yu-Harn, Lin Huey-Shyan, Sheu Shwu-Jiuan
机构信息
Department of Ophthalmology, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan.
Department of Health-Business Administration, Fooyin University, Kaohsiung, Taiwan.
出版信息
Taiwan J Ophthalmol. 2020 Mar 31;10(4):284-288. doi: 10.4103/tjo.tjo_1_19. eCollection 2020 Oct-Dec.
PURPOSE
The objective of the study was to investigate possible factors influencing gas fill after microincision vitrectomy surgery (MIVS) combined with fluid-gas exchange.
MATERIALS AND METHODS
This was a retrospective chart review of patients who underwent MIVS combined with fluid-gas exchange (20% CF) from February 2017 to December 2017.
RESULTS
Sixty-one eyes of 58 patients were identified. The mean age was 59.97 ± 9.65 years. The mean gas fill percentage was 76.28% ± 14.29% on day 1, 65.49% ±13.65% on day 3, 60.03% ± 14.53% on day 4, and 43.9% ± 20.88% on day 7 postoperatively. Compared to phakic eyes, eyes that were pseudophakic prior to surgery had a lower gas fill on days 1-3, but the difference did not reach significance on day 3. Eyes that underwent phacovitrectomy had a significantly lower gas fill on days 1-3 than eyes that did not.
CONCLUSION
Postoperative pseudophakic status is associated with lower gas fill after MIVS. Adjusted gas fill should be considered in these cases.
目的
本研究的目的是调查影响微切口玻璃体切除术（MIVS）联合液-气交换后气体填充的可能因素。
材料与方法
这是一项对2017年2月至2017年12月期间接受MIVS联合液-气交换（20%CF）的患者进行的回顾性病历审查。
结果
共纳入58例患者的61只眼。平均年龄为59.97±9.65岁。术后第1天平均气体填充率为76.28%±14.29%，第3天为65.49%±13.65%，第4天为60.03%±14.53%，第7天为43.9%±20.88%。与有晶状体眼相比，术前无晶状体眼在术后第1至3天的气体填充率较低，但在第3天差异无统计学意义。接受晶状体玻璃体切除术的眼在术后第1至3天的气体填充率明显低于未接受该手术的眼。
结论
MIVS术后无晶状体状态与较低的气体填充有关。在这些情况下应考虑调整气体填充。
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