玻璃体切除术联合巩膜扣带术治疗曾行玻璃体切割术的单纯孔源性视网膜脱离早期复发患者的疗效
Outcomes of Vitrectomy Combined with Scleral Buckling for Eyes with Early Recurrence of Simple Rhegmatogenous Retinal Detachment Previously Treated by Pars Plana Vitrectomy.
作者信息
Tatsumi Tomoaki, Baba Takayuki, Iwase Takehito, Nizawa Tomohiro, Miura Gen, Yokouchi Hirotaka, Yamamoto Shuichi
机构信息
Department of Ophthalmology and Visual Science, Chiba University Graduate School of Medicine, Chiba, Japan.
出版信息
J Ophthalmol. 2020 Dec 17;2020:6637143. doi: 10.1155/2020/6637143. eCollection 2020.
PURPOSE
To investigate the outcomes of pars plana vitrectomy (PPV) combined with scleral buckling (SB) in treating eyes with an early recurrent rhegmatogenous retinal detachment (rRRD).
METHODS
This was a retrospective, interventional case series of 21 eyes with an early rRRD treated by PPV combined with SB. The significance of the associations between the variants before the surgeries and the final best-corrected visual acuity (BCVA) was determined.
RESULTS
The average age of the patients was 61.0 ± 9.6 years. A retinal reattachment was observed in 20 of 21 eyes (95.2%) after a single reoperation. The BCVA was 0.91 ± 0.90 logMAR units before the initial surgery and 0.94 ± 0.94 logMAR units before the reoperations, and it improved significantly to 0.49 ± 0.50 logMAR units after the reoperation ( = 0.016, = 0.002, respectively). The preoperative BCVA was significantly correlated with the final BCVA ( = 0.043, = 0.445 before the primary surgery; < 0.001, = 0.885 before reoperation).
CONCLUSIONS
The reattachment of an early recurrent retinal detachment by PPV with SB is effective.
目的
探讨玻璃体切除术（PPV）联合巩膜扣带术（SB）治疗早期复发性孔源性视网膜脱离（rRRD）患者的疗效。
方法
这是一项回顾性、干预性病例系列研究，纳入21例接受PPV联合SB治疗的早期rRRD患者。确定术前变量与最终最佳矫正视力（BCVA）之间关联的显著性。
结果
患者的平均年龄为61.0±9.6岁。单次再次手术后，21只眼中的20只（95.2%）视网膜复位。初次手术前BCVA为0.91±0.90 logMAR单位，再次手术前为0.94±0.94 logMAR单位，再次手术后显著改善至0.49±0.50 logMAR单位（分别为P = 0.016，P = 0.002）。术前BCVA与最终BCVA显著相关（初次手术前P = 0.043，P = 0.445；再次手术前P < 0.001，P = 0.885）。
结论
PPV联合SB治疗早期复发性视网膜脱离复位有效。
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