视网膜动脉阻塞行玻璃体切割联合动脉切开和神经切开术-病例系列。
Vitrectomy with arteriotomy and neurotomy in retinal artery occlusion - A case series.
机构信息
Department of Okulistyka, Centrum Medyczne, Żeglarska; Miejskie Centrum Medyczne, Milionowa, Poland.
出版信息
Indian J Ophthalmol. 2022 Jun;70(6):2072-2076. doi: 10.4103/ijo.IJO_1566_21.
PURPOSE
This study aimed to investigate the visual outcomes and anatomical changes after vitrectomy for retinal artery occlusion.
METHODS
Twelve patients with retinal artery occlusion (11 central retinal artery occlusion and 1 branch retinal artery occlusion) were part of this study. Our patients were treated with vitrectomy with arteriotomy or with neurotomy and arteriotomy. Complete ophthalmic examination was performed preoperatively, at 2 weeks, and 1, 3, 6, 9, and 12 months after surgery.
RESULTS
The mean preoperative best-corrected visual acuity (BCVA) was 1.94 logMAR, and the final BCVA after 12-months follow-up was 2.04 logMAR. After vitrectomy with arteriotomy, the BCVA in patients treated with neurotomy and arteriotomy was 1.65 and 2.45, respectively (P = 0.038).
CONCLUSION
No benefits have been achieved from using vitrectomy in retinal artery occlusion cases.
目的
本研究旨在探讨视网膜动脉阻塞患者行玻璃体切除术的视力结果和解剖学变化。
方法
本研究纳入了 12 例视网膜动脉阻塞患者（11 例中央视网膜动脉阻塞和 1 例分支视网膜动脉阻塞）。我们的患者接受了玻璃体切除术联合动脉切开术或神经切开术联合动脉切开术治疗。在术前、术后 2 周、1、3、6、9 和 12 个月进行全面眼科检查。
结果
术前最佳矫正视力（BCVA）平均为 1.94 对数视力（logMAR），术后 12 个月的最终 BCVA 为 2.04 logMAR。行动脉切开术的玻璃体切除术后，行神经切开术联合动脉切开术的患者的 BCVA 分别为 1.65 和 2.45（P = 0.038）。
结论
在视网膜动脉阻塞病例中，玻璃体切除术没有带来益处。
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