Department of Ophthalmology, Shanghai Tenth People's Hospital, Affiliated to Tongji University, Shanghai 200072, China.
Biomed Res Int. 2021 Oct 4;2021:4628160. doi: 10.1155/2021/4628160. eCollection 2021.
To report the long-term results of scleral buckling using 25-gauge chandelier illumination.
The medical records of all patients presenting to Shanghai Tenth People's Hospital with simple rhegmatogenous retinal detachment (RRD) from June 2013 to Oct 2015 were retrospectively reviewed in this consecutive case series. All patients underwent preoperative and postoperative best corrected visual acuity (BCVA), B-ultrasound, fundus photography, and optical coherence tomography examination. Ultrasound biomicroscopy (UBM) was obtained postoperatively.
Ten patients (10 eyes) were included in the final analysis. Of 10 patients, the average age was 49.3 ± 18.9 years old, the average duration of RRD was 30.9 ± 53.3 days, and the mean follow-up period was 6.2 ± 0.9 years. There were nine eyes with myopia and four eyes with macular detachment. The primary anatomical success rate was 90%. Five eyes underwent 360-degree band with element surgery, and five eyes underwent element surgery alone. The average length of encircling band and element was 68.2 ± 1.3 mm and 10.5 ± 2.5 mm, respectively. There were no intraoperative or postoperative complications that occurred. The final BCVA was greater than or equal to 20/40 in nine eyes, of which four eyes achieved 20/20. UBM examination of the 25-gauge chandelier insertion site revealed no tissue proliferation.
For simple rhegmatogenous retinal detachment treatment, 25-gauge chandelier illumination-assisted scleral buckling is a kind of effective and safe method.
报告使用 25G 睫状照明进行巩膜扣带术的长期结果。
本连续病例系列研究回顾性分析了 2013 年 6 月至 2015 年 10 月期间上海第十人民医院所有单纯孔源性视网膜脱离（RRD）患者的病历。所有患者均行术前和术后最佳矫正视力（BCVA）、B 型超声、眼底照相和光学相干断层扫描检查。术后行超声生物显微镜（UBM）检查。
最终纳入 10 例（10 只眼）患者进行分析。10 例患者中，平均年龄为 49.3±18.9 岁，RRD 平均病程为 30.9±53.3 天，平均随访时间为 6.2±0.9 年。9 只眼为近视，4 只眼有黄斑脱离。初次解剖复位成功率为 90%。5 只眼行 360°环扎带加垫压术，5 只眼单纯行垫压术。环扎带和垫压材料的平均长度分别为 68.2±1.3mm 和 10.5±2.5mm。术中、术后均无并发症发生。9 只眼最终 BCVA≥20/40，其中 4 只眼达到 20/20。25G 睫状照明穿刺部位的 UBM 检查未见组织增生。
对于单纯孔源性视网膜脱离的治疗，25G 睫状照明辅助巩膜扣带术是一种有效且安全的方法。
