孔源性视网膜脱离合并脉络膜脱离：一项系统评价
COMBINED RHEGMATOGENOUS RETINAL AND CHOROIDAL DETACHMENT: A Systematic Review.
作者信息
Tsui Jonathan C, Brucker Alexander J, Kim Benjamin J, Kolomeyer Anton M
机构信息
Department of Ophthalmology, Scheie Eye Institute, Perelman School of Medicine at University of Pennsylvania, Philadelphia, Pennsylvania.
出版信息
Retina. 2023 Aug 1;43(8):1226-1239. doi: 10.1097/IAE.0000000000003770.
PURPOSE
To review the literature on eyes with concurrent rhegmatogenous retinal and choroidal detachment (RRD-CD).
METHODS
Several databases were searched for "rhegmatogenous retinal detachment" and "choroidal detachment" through October 2022. All English language primary literature was reviewed.
RESULTS
Studies demonstrated that eyes with RRD-CD were very uncommon and had diminished baseline visual acuity (VA) and intraocular pressure (IOP) compared with eyes with RRD only. Although no randomized trials have been performed, pars plana vitrectomy with or without scleral buckle (SB) have reported higher surgical success rates than SB alone. Reattachment rates were affected by age, IOP, adjuvant steroids, and grade of proliferative vitreoretinopathy.
CONCLUSION
Low IOP and poor initial VA are salient features of eyes with RRD-CD. Steroids can be useful adjuvants administered safely using several routes including periocular and intravitreal injection. PPV ± SB may result in best surgical outcomes.
目的
回顾关于同时发生孔源性视网膜脱离和脉络膜脱离（RRD-CD）的眼睛的文献。
方法
检索了几个数据库，直至2022年10月，搜索“孔源性视网膜脱离”和“脉络膜脱离”。对所有英文的原始文献进行了综述。
结果
研究表明，RRD-CD的眼睛非常罕见，与仅患有RRD的眼睛相比，其基线视力（VA）和眼压（IOP）降低。尽管尚未进行随机试验，但有巩膜扣带术（SB）或没有巩膜扣带术的玻璃体切除术（PPV）报告的手术成功率高于单独的巩膜扣带术。视网膜复位率受年龄、眼压、辅助性类固醇和增殖性玻璃体视网膜病变分级的影响。
结论
低眼压和初始视力差是RRD-CD眼睛的显著特征。类固醇可以作为有用的辅助药物，通过包括眼周和玻璃体内注射在内的几种途径安全给药。PPV ± SB可能会带来最佳的手术效果。
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