Department of Ophthalmology, Baoding No.1 Central Hospital, Baoding 071000, Hebei Province, China.
Affiliated Hospital of Hebei University, Baoding 071002, Hebei Province, China.
Arq Bras Oftalmol. 2021 Sep 10;85(4):370-376. doi: 10.5935/0004-2749.20220032. eCollection 2021.
To investigate the incidence, risk factors, and visual outcomes of epiretinal membrane development following rhegmatogenous retinal detachment repair.
This was a retrospective study of 309 eyes that underwent initial surgery for primary uncomplicated rhegmatogenous retinal detachment. Examinations were conducted preoperatively and then postoperatively at 1, 3, 6, and 12 months. The study patients were categorized into two groups depending on the presence or absence of the epiretinal membrane.
The incidence of postoperative epiretinal membrane was 28.5%; 42.7% of these patients had severe epiretinal membrane development and therefore underwent the epiretinal membrane removal. Logistic regression analyses revealed that giant retinal tears (OR: 2.66; 95% CI: 1.045-6.792, p=0.040) and horseshoe tears (OR: 0.534; 95% CI: 0.295-0.967, p=0.039) were the significant predictors of postoperative epiretinal membrane. Triamcinolone acetonide staining was significantly associated with the prevention of epiretinal membrane (p=0.022). A total of 34 patients showed a better or an equal final best-corrected visual acuity; of which 4 eyes were evaluated at the final follow-up visit and exhibited a reduced best-corrected visual acuity.
Our analysis demonstrated that horseshoe tears and giant retinal tears represent the risk factors for the postoperative epiretinal membrane. Triamcinolone acetonide staining had a significant preventive effect on the postoperative epiretinal membrane. Furthermore, a second round of pars plana vitrectomy, including membrane removal, led to a significant improvement in the final best-corrected visual acuity as per the last follow-up examination, albeit the recovery was limited.
探讨孔源性视网膜脱离修复术后发生视网膜内表面膜的发生率、风险因素和视力结果。
这是一项对 309 只眼进行的回顾性研究，这些眼均因原发性单纯孔源性视网膜脱离而首次接受手术治疗。术前和术后 1、3、6 和 12 个月进行检查。根据是否存在视网膜内表面膜，将研究患者分为两组。
术后视网膜内表面膜的发生率为 28.5%；其中 42.7%的患者发生严重视网膜内表面膜，因此接受了视网膜内表面膜切除术。Logistic 回归分析显示，巨大裂孔（OR：2.66；95%CI：1.045-6.792，p=0.040）和马蹄形裂孔（OR：0.534；95%CI：0.295-0.967，p=0.039）是术后视网膜内表面膜的显著预测因子。曲安奈德染色与预防视网膜内表面膜显著相关（p=0.022）。共有 34 例患者的最终最佳矫正视力更好或相同；其中 4 只眼在最后一次随访时的最佳矫正视力下降。
我们的分析表明，马蹄形裂孔和巨大裂孔是术后视网膜内表面膜的危险因素。曲安奈德染色对术后视网膜内表面膜有显著的预防作用。此外，第二轮经睫状体平坦部玻璃体切除术，包括膜切除，可导致最终最佳矫正视力显著改善，尽管恢复有限。
