Hwang Sung Ha, Lee Dae Yeong, Nam Dong Heun
Department of Ophthalmology, Gil Medical Center, College of Medicine, Gachon University, Incheon, Korea.
Retina. 2023 Dec 1;43(12):2173-2176. doi: 10.1097/IAE.0000000000003779.
To introduce a new surgical technique with a beveled vitrectomy probe for the removal of peripheral vitreous cortex remnants (VCR) in primary rhegmatogenous retinal detachment (RRD).
This study was a retrospective case series. From September 2019 to June 2022, 54 patients with complete or partial posterior vitreous detachment who underwent vitrectomy for primary RRD by a single surgeon were enrolled.
After staining the vitreous with triamcinolone acetonide, the presence of VCR was assessed in detail. If VCR were present, the macular VCR were removed using surgical forceps, and then, a free flap of peripheral VCR was used as a handle for removing peripheral VCR using the beveled vitrectomy probe. Of the total patients, the presence of VCR was confirmed in 16 patients (29.6%). There were no intraoperative or postoperative complications, except for retinal redetachment caused by proliferative vitreoretinopathy, that occurred in only one eye (1.9%).
Using a beveled vitrectomy probe was a practical solution for removing VCR during RRD vitrectomy because additional instruments were not needed and risk of iatrogenic retinal damage was low.
介绍一种使用斜面玻璃体切割探头的新手术技术，用于在原发性孔源性视网膜脱离（RRD）中去除周边玻璃体皮质残留（VCR）。
本研究为回顾性病例系列。2019年9月至2022年6月，纳入54例因原发性RRD接受玻璃体切割术的完全或部分玻璃体后脱离患者，手术由同一位外科医生完成。
用曲安奈德对玻璃体进行染色后，详细评估VCR的存在情况。若存在VCR，先用手术镊去除黄斑区VCR，然后用斜面玻璃体切割探头将周边VCR的游离瓣作为手柄来去除周边VCR。在所有患者中，16例（29.6%）被证实存在VCR。除仅1只眼（1.9%）发生增生性玻璃体视网膜病变导致视网膜再次脱离外，无术中或术后并发症。
在RRD玻璃体切割术中，使用斜面玻璃体切割探头是去除VCR的一种实用方法，因为无需额外器械，且医源性视网膜损伤风险较低。
