原发性巩膜扣带术治疗黄斑受累孔源性视网膜脱离后视网膜脱离的评估。
EVALUATION OF RETINAL DISPLACEMENT FOLLOWING PRIMARY SCLERAL BUCKLING FOR MACULA-INVOLVING RHEGMATOGENOUS RETINAL DETACHMENT.
机构信息
Department of Ophthalmology, Bascom Palmer Eye Institute, Miami, Florida; and.
Department of Ophthalmology, University of Iowa, Iowa City, Iowa.
出版信息
Retina. 2022 Aug 1;42(8):1498-1502. doi: 10.1097/IAE.0000000000003499.
PURPOSE
To evaluate the incidence and degree of retinal displacement following scleral buckling surgery for macula-involving rhegmatogenous retinal detachment.
METHODS
Retrospective interventional case series comprised of patients treated with primary scleral buckling procedure without gas tamponade for macula-involving rhegmatogenous retinal detachment and imaged postoperatively with fundus autofluorescence imaging between June 1, 2016 and July 25, 2021. Clinical notes, operative reports, fundus autofluorescence photographs, and optical coherence tomography images were reviewed. The presence and degree of retinal displacement were recorded.
RESULTS
Twelve eyes of 11 patients were included. One (8%) eye with an epiretinal membrane demonstrated 0.1 mm of retinal displacement along the superior arcade and in the superotemporal periphery. The remainder of eyes (92%) did not show any identifiable signs of retinal displacement.
CONCLUSION
Retinal displacement does not seem to be a frequent complication of primary scleral buckling surgery for macula-involving rhegmatogenous retinal detachment.
目的
评估巩膜扣带术治疗累及黄斑的孔源性视网膜脱离后视网膜脱离的发生率和程度。
方法
回顾性干预性病例系列研究，纳入了 2016 年 6 月 1 日至 2021 年 7 月 25 日期间接受巩膜扣带术（未行气体填充）治疗累及黄斑的孔源性视网膜脱离且术后行眼底自发荧光成像的患者。回顾临床记录、手术报告、眼底自发荧光照片和光学相干断层扫描图像。记录视网膜移位的存在和程度。
结果
纳入了 11 例患者的 12 只眼。1 只（8%）眼合并视网膜内膜，在上方弓和上方颞侧周边出现 0.1 毫米的视网膜移位。其余眼（92%）未出现任何可识别的视网膜移位迹象。
结论
对于累及黄斑的孔源性视网膜脱离，巩膜扣带术似乎不是一种常见的并发症。
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