Siwik Paulina, Chudoba Tomasz, Cisiecki Sławomir
National Medical Institute of the Ministry of the Interior and Administration, 02-507 Warsaw, Poland.
Department Ophthalmology, Miejskie Centrum Medyczne Jonscher, 93-113 Łódź, Poland.
J Clin Med. 2025 Jan 3;14(1):250. doi: 10.3390/jcm14010250.
Rhegmatogenous retinal detachment (RRD) is a severe condition that may lead to permanent vision loss if untreated. Pars plana vitrectomy (PPV) has become a preferred surgical intervention, particularly in complex cases. Objective: Retinal displacement (RD) following PPV for RRD can lead to visual distortions and can negatively impact patient quality of life. This review examines surgical techniques, tamponade choices, and postoperative strategies to mitigate displacement risks and their clinical implications. A systemic review of studies from 2010 to 2024 was conducted using PubMed, MEDLINE, and Ovid. The search included terms such as "retinal displacement, "tamponade agents", and postoperative positioning". Inclusion criteria focused on studies addressing PPV outcomes, retinal alignment, and visual distortions. Methodological quality was assessed using PRISMA guidelines. Gas tamponades were associated with lower RD rates compared to silicone oil. Intraoperative use of perfluorocarbon liquid (PFCL) improved retinal stability. Postoperative positioning strategies significantly reduced visual distortions. Surgical and postoperative techniques substantially influence RD risk. Advances in imaging and tamponade agents offer promising avenues to improve patient outcomes and minimize RD.
孔源性视网膜脱离（RRD）是一种严重的疾病，如果不治疗可能导致永久性视力丧失。玻璃体切除术（PPV）已成为一种首选的手术干预方法，尤其是在复杂病例中。目的：RRD患者接受PPV术后的视网膜移位（RD）可导致视觉扭曲，并对患者生活质量产生负面影响。本综述探讨了减轻移位风险的手术技术、填充剂选择和术后策略及其临床意义。使用PubMed、MEDLINE和Ovid对2010年至2024年的研究进行了系统综述。搜索词包括“视网膜移位”“填充剂”和“术后体位”等。纳入标准侧重于涉及PPV结果、视网膜复位和视觉扭曲的研究。使用PRISMA指南评估方法学质量。与硅油相比，气体填充的RD发生率较低。术中使用全氟碳液体（PFCL）可提高视网膜稳定性。术后体位策略可显著减少视觉扭曲。手术和术后技术对RD风险有重大影响。成像和填充剂的进展为改善患者预后和最小化RD提供了有前景的途径。
