玻璃体切除术与玻璃体切除术联合巩膜扣带术治疗儿童视网膜脱离的一期修复
Pars Plana Vitrectomy vs Combined Pars Plana Vitrectomy-Scleral Buckle for Primary Repair of Pediatrics Retinal Detachment.
作者信息
Al Taisan Abdulaziz A, Alshamrani Abdulaziz A, AlZahrani Abdullah T, Al-Abdullah Abdulelah A
机构信息
Vitreoretinal Division, King Khaled Eye Specialist Hospital, Riyadh, Saudi Arabia.
Surgery Department, College of Medicine, King Faisal University, Al-Ahsa, Saudi Arabia.
出版信息
Clin Ophthalmol. 2021 May 10;15:1949-1955. doi: 10.2147/OPTH.S305910. eCollection 2021.
PURPOSE
To evaluate the outcome of pars plana vitrectomy (PPV) and combined pars plana vitrectomy with scleral buckle (PPV-SB) in the primary pediatrics rhegmatogenous retinal detachment repair.
DESIGN
A retrospective cohort study.
METHODS
A retrospective study was conducted in patients under 18 years of age, who presented with rhegmatogenous retinal detachment at King Khaled Eye Specialist Hospital between January 2014 and October 2018. Primary measurable outcomes were single surgery success rate (SSSR) and rate of postoperative complications.
RESULTS
A total of 122 eyes of 117 patients were included in the study; 80 eyes in PPV group and 42 eyes in PPV-SB group. Mean follow-up period after surgery was 18.2 months ±11 months. SSSR was 76.3% (n=61) and 66.7% (n=28) for PPV and PPV-SB, respectively. No statistically significant difference was found between the two methods of RRD repair in single surgery success rate with an OR of 1.3 (=0.45). Complication rates were comparable in both groups in the last follow-up.
CONCLUSION
In this series, PPV and PPV-SB have comparable results in regard to anatomical success and rate of postoperative complications. More complicated cases were selected to undergo PPV-SB upon surgeons' preference.
目的
评估玻璃体切除术（PPV）及玻璃体切除术联合巩膜扣带术（PPV-SB）在儿童原发性孔源性视网膜脱离修复中的效果。
设计
一项回顾性队列研究。
方法
对2014年1月至2018年10月在沙特国王哈立德眼科专科医院就诊的18岁以下孔源性视网膜脱离患者进行回顾性研究。主要可测量指标为单次手术成功率（SSSR）和术后并发症发生率。
结果
本研究共纳入117例患者的122只眼；PPV组80只眼，PPV-SB组42只眼。术后平均随访时间为18.2个月±11个月。PPV组和PPV-SB组的单次手术成功率分别为76.3%（n = 61）和66.7%（n = 28）。两种视网膜脱离修复方法在单次手术成功率方面无统计学显著差异，OR为1.3（= 0.45）。两组在最后一次随访时的并发症发生率相当。
结论
在本系列研究中，PPV和PPV-SB在解剖学成功率和术后并发症发生率方面结果相当。根据外科医生的偏好，选择更复杂的病例进行PPV-SB手术。
Zotero 插件