VitreoRetinal Surgery, PA, Minneapolis, Minnesota.
Department of Ophthalmology, University of Minnesota, Minneapolis, Minnesota; and.
Retina. 2021 Sep 1;41(9):1828-1832. doi: 10.1097/IAE.0000000000003136.
To describe the safety and efficacy of rhegmatogenous retinal detachment (RRD) repair with external drainage of subretinal fluid using a 28-gauge External Drainage and Depression device (Vortex Surgical, Chesterfield, MO).
Retrospective review of patients who underwent primary rhegmatogenous retinal detachment repair with scleral buckle, pars plana vitrectomy, or scleral buckle/pars plana vitrectomy using the drainage device from August 2018 through March 2020, performed by four surgeons at two vitreoretinal practices.
Eighty-three eyes of 83 patients were included. At presentation, 28% had proliferative vitreoretinopathy. Surgery included 65% scleral buckle/pars plana vitrectomy, 33% pars plana vitrectomy, and 2% scleral buckle. There were no cases of retinal incarceration and two subretinal hemorrhages at the drainage site (both < 2 DD), 2 cases of recurrent RD with proliferative vitreoretinopathy (1 had proliferative vitreoretinopathy at presentation), and 6 (10%) new epiretinal membranes (3 were mild). There were no other complications. Mean follow-up was 274 days. Single operation success rate for those with ≥ 6-month follow-up was 97% (57/59).
External drainage of subretinal fluid during rhegmatogenous retinal detachment repair demonstrated a favorable safety profile with a high single operation success rate. Further study of the role of external drainage in rhegmatogenous retinal detachment repair is warranted.
描述使用 28 号外引流和减压装置（Vortex Surgical，切斯特菲尔德，密苏里州）对视网膜裂孔源性视网膜脱离（RRD）进行外排视网膜下液的安全性和疗效。
回顾性分析了 2018 年 8 月至 2020 年 3 月期间，由四位玻璃体视网膜医生在两家玻璃体视网膜实践中心进行的巩膜扣带、经睫状体平坦部玻璃体切除术或巩膜扣带/经睫状体平坦部玻璃体切除术治疗原发性视网膜裂孔源性视网膜脱离患者的资料，这些患者均使用引流装置。
共纳入 83 例 83 只眼。就诊时，28%的患者患有增生性玻璃体视网膜病变。手术包括 65%的巩膜扣带/经睫状体平坦部玻璃体切除术、33%的经睫状体平坦部玻璃体切除术和 2%的巩膜扣带术。无视网膜嵌顿病例，引流部位发生 2 例视网膜下出血（均<2DD），2 例伴增生性玻璃体视网膜病变的复发性 RRD（其中 1 例在就诊时患有增生性玻璃体视网膜病变），以及 6 例（10%）新发性视网膜内膜（3 例为轻度）。无其他并发症。平均随访时间为 274 天。在有≥6 个月随访的患者中，单次手术成功率为 97%（57/59）。
在视网膜裂孔源性视网膜脱离修复过程中外排视网膜下液显示出良好的安全性，单次手术成功率高。进一步研究外排在视网膜裂孔源性视网膜脱离修复中的作用是必要的。
