硅油填充玻璃体切割术后轴长的变化治疗孔源性视网膜脱离。

Change in axial length after vitrectomy with silicone oil tamponade for rhegmatogenous retinal detachment.

机构信息

Department of Ophthalmology and Vision Science, Eye and ENT Hospital, Fudan University, Shanghai, 200031, People's Republic of China.

Department of Ophthalmology, People's Hospital of Shanghai No. 5, Shanghai, 200240, People's Republic of China.

出版信息

BMC Ophthalmol. 2022 Jun 8;22(1):257. doi: 10.1186/s12886-022-02433-8.

DOI:10.1186/s12886-022-02433-8

PMID:35676663

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9175333/

Abstract

BACKGROUND

We aimed to explore the changes in the axial length and related factors after vitrectomy for rhegmatogenous retinal detachment (RRD).

METHODS

This study retrospectively evaluated patients who underwent vitrectomy with silicone oil (SO) tamponade for RRD and subsequent silicone oil removal at our clinic. Using a Zeiss IOLMaster 700, axial length was measured before vitrectomy for RRD and SO removal. The change in axial length (ΔAL) was calculated, and multivariate binary logistic regression analysis was performed to investigate the potential correlation between ΔAL and clinical factors, such as preoperative hypotony, extreme myopia, age, macular involvement, choroidal detachment, operation duration, and operation history.

RESULTS

In total, 213 eyes from 213 patients were included. The mean axial length changed significantly pre- and post-vitrectomy (25.98 ± 2.87 mm and 26.25 ± 3.07 mm, respectively, P < 0.001); the mean ΔAL was 0.37 ± 0.62 mm. Multivariate binary logistic regression analysis showed that preoperative hypotony and extreme myopia were significantly correlated with the ΔAL (P = 0.001 and P = 0.001, respectively). A higher proportion of hypotonic eyes had ΔAL ≥ 0.3 mm (33/76 in hypotony eyes and 32/137 in others; P = 0.003). A higher proportion of extremely myopic eyes also had a ΔAL ≥ 0.3 mm (23/46 in extremely myopic eyes and 42/167 in others; P = 0.002).

CONCLUSION

For patients with RRD and cataracts, as axial length changed significantly after vitrectomy in those with hypotony or extreme myopia, secondary lOL implantation should be considered.

摘要

背景

本研究旨在探讨孔源性视网膜脱离（RRD）行玻璃体切割术后眼轴长度的变化及其相关因素。

方法

本研究回顾性分析了在我院行玻璃体切割联合硅油（SO）填充术治疗 RRD 并随后行硅油取出术的患者。应用蔡司 IOLMaster700 测量患者 RRD 术前及 SO 取出术后眼轴长度。计算眼轴长度的变化值（ΔAL），并采用多因素二项逻辑回归分析探讨ΔAL 与术前低眼压、高度近视、年龄、黄斑累及、脉络膜脱离、手术时间、手术史等临床因素的相关性。

结果

共纳入 213 例（213 只眼）患者。术后平均眼轴长度较术前明显增加（分别为 25.98 ± 2.87mm 和 26.25 ± 3.07mm，P＜0.001），平均ΔAL 为 0.37 ± 0.62mm。多因素二项逻辑回归分析显示，术前低眼压和高度近视与ΔAL 显著相关（P=0.001 和 P=0.001）。ΔAL≥0.3mm 的患者中，术前低眼压眼所占比例更高（33/76 眼与 32/137 眼；P=0.003）。ΔAL≥0.3mm 的患者中，高度近视眼所占比例更高（23/46 眼与 42/167 眼；P=0.002）。