采用或不采用环扎带的玻璃体切除术治疗与牛眼相关的视网膜脱离。
Pars plana vitrectomy with/without encircling scleral band for treatment of retinal detachment associated with buphthalmos.
作者信息
Ghoraba Hammouda Hamdy, El Gouhary Sameh Mohamed, Ghali Ali Ahmed Ali, Abdelhafez Mohamed Ahmed, Zaky Adel Galal, Leila Mahmoud, Heikal Mohamed Amin, Mansour Hosam Othman
机构信息
Ophthalmology Department, Faculty of Medicine, Tanta University, Tanta, Egypt.
Magrabi Eye Hospital, Tanta, Egypt.
出版信息
Int J Retina Vitreous. 2021 May 13;7(1):39. doi: 10.1186/s40942-021-00310-y.
BACKGROUND
To evaluate the results of pars plana vitrectomy (PPV) and silicone oil (SO) tamponade with or without encircling scleral band for repair of rhegmatogenous retinal detachment (RRD) in children with buphthalmos.
PATIENTS AND METHODS
Retrospective comparative nonrandomized interventional case series including consecutive patients who underwent PPV with or without encircling band and SO tamponade for RRD associated with buphthalmos.
RESULTS
The study included 19 eyes of 19 children. Mean age was 8 years, range 3-16 years. Mean follow-up period was 28 months, range 19-63 months. Globe survival has been achieved in 15 out of 19 eyes (79%). Phthisis bulbi was reported in four cases (22%). Eight patients (42%) achieved ambulatory vision. Most eyes initially achieved anatomical success.
CONCLUSION
Despite the poor visual and anatomical results of RRD repair in eyes with buphthalmos, globe survival might be the rationale for surgery in such cases. Globe preservation could avoid the psychological and social consequences of phthisis bulbi in non-operated children.
背景
评估经平坦部玻璃体切除术（PPV）联合硅油（SO）填充，无论有无环扎巩膜带，用于修复小儿牛眼性孔源性视网膜脱离（RRD）的效果。
患者与方法
回顾性比较非随机干预病例系列，纳入连续接受PPV联合或不联合环扎带及SO填充治疗与牛眼相关RRD的患者。
结果
该研究纳入19例儿童的19只眼。平均年龄8岁，范围3 - 16岁。平均随访期28个月，范围19 - 63个月。19只眼中15只（79%）实现眼球存活。4例（22%）出现眼球痨。8例患者（42%）获得可走动时的视力。多数眼最初获得解剖学成功。
结论
尽管牛眼性RRD修复的视觉和解剖学效果不佳，但眼球存活可能是此类病例手术的理论依据。保留眼球可避免未手术患儿出现眼球痨的心理和社会后果。
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