使用三维观察系统的玻璃体切除术联合白内障手术治疗视网膜脱离
Vitrectomy Combined with Cataract Surgery for Retinal Detachment Using a Three-Dimensional Viewing System.
作者信息
Nowomiejska Katarzyna, Toro Mario Damiano, Bonfiglio Vincenza, Czarnek-Chudzik Aleksandra, Brzozowska Agnieszka, Torres Kamil, Rejdak Robert
机构信息
Chair and Department of General and Pediatric Ophthalmology, Medical University of Lublin, 20-079 Lublin, Poland.
Eye Clinic, Public Health Department, University of Naples "Federico II", 80131 Naples, Italy.
出版信息
J Clin Med. 2022 Mar 24;11(7):1788. doi: 10.3390/jcm11071788.
PURPOSE
To evaluate the results of a pars plana vitrectomy (PPV) combined with cataract surgery for primary rhematogenous retinal detachment (RD) using a three-dimensional (3D) viewing system and a conventional microscope (CM).
METHODS
Medical reports of 82 patients were retrospectively reviewed: 26 patients were operated on with 3D and 56 patients were operated on with CM. The main outcome measures were visual acuity, duration of the surgery, and the rate of postoperative complications.
RESULTS
No statistically significant differences in pre- and postoperative visual acuity were found between both groups. There was significant improvement in the visual acuity in both groups. The best postoperative visual acuity was achieved with SF6 gas tamponade, followed by C3F8 gas and silicone oil in both groups. The duration of the surgery (60 min vs. 55 min) and the rate of postoperative complications (15% vs. 14%) were similar in both groups.
CONCLUSIONS
The similar postoperative visual acuity and rate of complications detected using 3D and CM indicate that the 3D viewing system may be advantageous in the treatment of rhematogenous RD with PPV combined with cataract surgery, i.e., a complex procedure involving both anterior and posterior segment manipulations.
目的
使用三维（3D）观察系统和传统显微镜（CM）评估玻璃体切割联合白内障手术治疗原发性孔源性视网膜脱离（RD）的效果。
方法
回顾性分析82例患者的病历报告：26例患者采用3D进行手术，56例患者采用CM进行手术。主要观察指标为视力、手术时间和术后并发症发生率。
结果
两组患者术前和术后视力无统计学显著差异。两组患者视力均有显著改善。两组患者术后最佳视力均通过使用SF6气体填充实现，其次是C3F8气体和硅油。两组患者的手术时间（60分钟对55分钟）和术后并发症发生率（15%对14%）相似。
结论
使用3D和CM检测到的术后视力和并发症发生率相似，表明3D观察系统在玻璃体切割联合白内障手术治疗孔源性视网膜脱离中可能具有优势，即这是一种涉及前段和后段操作的复杂手术。
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