巩膜扣带术治疗增殖性糖尿病视网膜病变继发的视网膜脱离

Scleral buckling procedure for retinal detachments secondary to proliferative diabetic retinopathy.

作者信息

Miller S A, Shafrin F, Bresnick G H, Davis M D, Myers F L

出版信息

Am J Ophthalmol. 1980 Jan;89(1):103-12. doi: 10.1016/0002-9394(80)90236-6.

Abstract

Ninety-two patients (99 eyes) underwent scleral buckling procedures for retinal detachment associated with proliferative diabetic retinopathy. Fifty-three procedures were for rhegmatogenous retinal detachment and 46 for tractional retinal detachment. The average follow-up period was 38 months. Anatomic success was assessed in terms of closure of retinal breaks (59/69, 86%), macular reattachment (42/90, 46%), and reduction in extent of retinal detachment postoperatively as compared to preoperatively (62/99, 63%). The visual acuity was better postoperatively in 33/99 (34%) of the eyes; 58/99 (58%) of the eyes maintained finger counting visual acuity. Improvement in visual acuity was more frequent in eyes with rhegmatogenous detachment (23/53, 43%) than in those with traction detachment (10/46, 22%). Although improvement is generally limited, some patients are markedly benefitted by scleral buckling procedures.

摘要

92例患者（99只眼）因增殖性糖尿病视网膜病变相关的视网膜脱离接受了巩膜扣带术。其中53例为孔源性视网膜脱离，46例为牵拉性视网膜脱离。平均随访期为38个月。解剖学成功的评估指标包括视网膜裂孔闭合（59/69，86%）、黄斑复位（42/90，46%）以及与术前相比术后视网膜脱离范围缩小（62/99，63%）。99只眼中有33只（34%）术后视力改善；58只（58%）眼维持在指数视力。孔源性脱离眼的视力改善（23/53，43%）比牵拉性脱离眼（10/46，22%）更常见。虽然改善通常有限，但一些患者通过巩膜扣带术明显获益。