USE OF 25-GAUGE VITRECTOMY IN THE MANAGEMENT OF PRIMARY RHEGMATOGENOUS RETINAL DETACHMENT
USE OF 25-GAUGE VITRECTOMY IN THE MANAGEMENT OF PRIMARY RHEGMATOGENOUS RETINAL DETACHMENT
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DOI：
10.1097/iae.0b013e3181aa0f5f
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发表时间：
2009-10-01
影响因子：
3.3
通讯作者：
de Smet, Marc D.
中科院分区：
文献类型：
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作者：
Mura, Marco;Tan, Stevie H.;de Smet, Marc D.
目的：评价经角膜玻璃体切除术治疗原发性孔源性视网膜脱离（RRD）的解剖和功能效果。方法：回顾性、非对比性介入病例系列，包括131例连续接受25口径经结膜玻璃体切除术进行初级RRD修复的患者。收集术前和术后的视力和眼压（IOP）、晶状体状态、黄斑状态、原发骨折位置、手术时间、术后炎症、术后并发症和缝合部位数量等数据。主要观察指标为解剖成功率、术后视力、IOP、术后并发症。结果：3个月成功率为92.4%。视力由20/50（范围，20/16至光感）改善至20/32（范围，20/200至20/16）。10例（7.6%）患者在平均随访38天（范围21-53天）后因7眼（9.2%）存在增殖性玻璃体视网膜病变或3眼（3.9%）出现新的视网膜撕裂而再次脱离。11例（8.4%）患者眼压降低在6 ~ 10 mmHg（平均7.8 mmHg）之间。没有人有明显的低斜视。所有患者均无脉络膜脱离或眼内炎。结论：良好的病例选择保证了25号经结体玻璃体切除术治疗原发性RRD的良好效果。视网膜29:99 -1304,2009
Purpose: To evaluate the anatomical and functional results of 25-gauge transconjuctival vitrectomy in the management of primary rhegmatogenous retinal detachment (RRD).Methods: A retrospective, noncomparative interventional case series including 131 consecutive patients who underwent 25-gauge transconjunctival vitrectomy for primary RRD repair was performed. Data concerning pre- and postoperative visual acuity and intraocular pressure (IOP), lens status, macular status, location of primary break, surgical time, postoperative inflammation, peri- and postoperative complications, and number of sutured sites were collected. Main outcome measures were anatomical success rate, postoperative visual acuity and IOP, and peri- and postoperative complications.Results: The success rate at 3 months was 92.4%. The visual acuity improved from 20/50 (range, 20/16 to light perception) to 20/32 (range, 20/200 to 20/16). Ten patients (7.6%) redetached after a mean follow-up time of 38 days (range, 21-53 days) because of the presence of proliferative vitreoretinopathy in 7 eyes (9.2%) or a new retinal tear in 3 eyes (3.9%). A lowered IOP between 6 mmHg and 10 mmHg (mean, 7.8 mmHg) was observed in 11 patients (8.4%). None had frank hypotony. None of the patients had choroidal detachment or endophthalmitis.Conclusion: Good case selection was shown to ensure good outcomes with 25-gauge transconjuctival vitrectomy in the management of primary RRD. RETINA 29:1299-1304, 2009