Department of Ophthalmology, University of Texas Health at San Antonio, San Antonio, TX, USA.
Korean J Ophthalmol. 2021 Jun;35(3):215-222. doi: 10.3341/kjo.2021.0013. Epub 2021 Jun 4.
Visual impairment from retinal re-detachment could be debilitating. The aim of this review is to evaluate the role of 360° laser retinopexy on success rate of rhegmatogenous retinal detachment (RRD) repair by a meta-analysis study.
The PubMed, Scopus, and the Cochrane Library databases were searched comprehensively from the date of database inception to January 2021, evaluating the role of 360° laser retinopexy in visual and anatomical success rate of RRD repair. This review was conducted based on the preferred reporting items for systematic review and meta-analysis (PRISMA) protocols.
Among 202 articles screened for eligibility, six studies were found to be eligible for inclusion in our final analysis. Our meta-analysis demonstrates that prophylactic treatment with circumferential laser photocoagulation has no significant effect on the initial rate of retinal re-detachment or final best-corrected visual acuity following pars plana vitrectomy repair of RRD. Subgroup analysis of studies (n = 3) with 23-gauge pars plana vitrectomy, however, favors attachment rate in patients undergoing 360° prophylactic laser treatment.
Three hundred and sixty degree laser retinopexy appears to have favorable outcomes in patients undergoing 23-gauge retinal detachment repair. This protective effect, however, is not apparent with inclusion of 20-gauge vitrectomy studies.
视网膜再脱离引起的视力障碍可能会使人衰弱。本综述的目的是通过荟萃分析评估 360°激光视网膜光凝术在孔源性视网膜脱离（RRD）修复成功率方面的作用。
全面检索 PubMed、Scopus 和 Cochrane Library 数据库，检索时间从数据库建立到 2021 年 1 月，评估 360°激光视网膜光凝术在 RRD 修复的视力和解剖成功率方面的作用。本综述是根据系统评价和荟萃分析的首选报告项目（PRISMA）协议进行的。
在筛选出的 202 篇符合条件的文章中，有 6 项研究符合纳入我们最终分析的标准。我们的荟萃分析表明，在接受巩膜外冷凝联合环扎术修复 RRD 后，周边激光光凝预防性治疗对视网膜再脱离的初始率或最终最佳矫正视力没有显著影响。然而，对（n=3）采用 23G 巩膜外冷凝联合环扎术的研究进行亚组分析时，接受 360°预防性激光治疗的患者的附着率较高。
360°激光视网膜光凝术似乎对接受 23G 视网膜脱离修复的患者有较好的效果。然而，当纳入 20G 玻璃体切除术研究时，这种保护作用并不明显。
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