Schulich School of Medicine & Dentistry, The University of Western Ontario, London, Canada.
Department of Ophthalmology, Schulich School of Medicine and Dentistry, The University of Western Ontario, London, Canada.
Curr Eye Res. 2024 Mar;49(3):295-302. doi: 10.1080/02713683.2023.2280440. Epub 2023 Nov 20.
Comparisons of the surgical and anatomic results of rhegmatogenous retinal detachment surgery have been investigated previously. A systematic evaluation of the available evidence comparing quality of life outcomes of either pars plana vitrectomy, scleral buckling, or pneumatic retinopexy has not been evaluated to date. This article analyzes whether pars plana vitrectomy, scleral buckling, or pneumatic retinopexy for the treatment of rhegmatogenous retinal detachment results in differing quality of life outcomes.
In February of 2022, a comprehensive search of MEDLINE, EMBASE, CINHAL, and Cochrane Library was conducted for studies on patients treated surgically for rhegmatogenous retinal detachment and included follow-up measurements of quality of life outcomes. Meta-analysis was completed using STATA v. 14.0. The main outcomes of interest were the mean vision-related quality of life score (VRQOL) and SD of VRQOL of each type of surgical procedure.
In this systematic review of 13 distinct trials including follow-up of patient quality of life after rhegmatogenous retinal detachment surgery ( = 1063), a better correlation was found between higher quality of life outcomes with scleral buckling than with pars plana vitrectomy (SMD = 0.62, CI: [0.31, 0.93]). There was also no signficant difference in quality of life outcomes between pneumatic retinopexy and pars plana vitrectomy (SMD = 0.08, CI: [-0.07, 0.22]).
Scleral buckling results in better quality of life outcomes for patients when compared to pars plana vitrectomy. Pneumatic retinopexy did not show a difference in quality of life outcomes compared to pars plana vitrectomy.
先前已经研究了孔源性视网膜脱离手术的手术和解剖结果的比较。迄今为止，尚未对比较经睫状体平坦部玻璃体切除术、巩膜扣带术或充气性视网膜固定术的生活质量结果的现有证据进行系统评估。本文分析了经睫状体平坦部玻璃体切除术、巩膜扣带术或充气性视网膜固定术治疗孔源性视网膜脱离是否会导致不同的生活质量结果。
2022 年 2 月，对 MEDLINE、EMBASE、CINHAL 和 Cochrane Library 进行了全面检索，以查找接受手术治疗孔源性视网膜脱离的患者的研究，并纳入了生活质量结果的随访测量。使用 STATA v. 14.0 进行了荟萃分析。主要关注的结局是每种手术类型的平均与视觉相关的生活质量评分（VRQOL）和 VRQOL 的标准差。
在这项对 13 项不同试验的系统评价中，包括对孔源性视网膜脱离手术后患者生活质量的随访（=1063），发现巩膜扣带术与经睫状体平坦部玻璃体切除术相比，生活质量结果的相关性更好（SMD=0.62，CI：[0.31，0.93]）。充气性视网膜固定术与经睫状体平坦部玻璃体切除术之间的生活质量结果也没有显著差异（SMD=0.08，CI：[-0.07，0.22]）。
与经睫状体平坦部玻璃体切除术相比，巩膜扣带术可使患者获得更好的生活质量结果。与经睫状体平坦部玻璃体切除术相比，充气性视网膜固定术在生活质量结果方面没有差异。
