Pneumatic retinopexy: success rate and complications
Pneumatic retinopexy: success rate and complications
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DOI：
10.1136/bjo.2005.075515
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发表时间：
2006-04-01
影响因子：
4.1
通讯作者：
Irvine, A
中科院分区：
文献类型：
--
作者：
Zaidi, AA;Alvarado, R;Irvine, A
目的：评价一所大学医院实施充气视网膜固定术的成功率和并发症，以确定哪些患者最适合充气视网膜固定术。对1998-2004年间在加州大学旧金山分校两家医院由两名视网膜外科医生进行的61例充气视网膜固定术患者进行了回顾性研究。通过回顾手术报告和账单记录，确定曾接受气动视网膜固定术治疗的孔源性视网膜脱离(RRD)的患者。主要的结果衡量标准是通过一次干预使视网膜解剖复位。次要观察指标包括术后视力和术后并发症。结果：61例中有33例(54%)一次手术成功。重复注射气体或单纯激光视网膜固定术成功40例(66%)。所有病例在最后一次随访时均获得解剖学上的成功。年龄、近视、镜片状态和破裂次数未被证明是失败的风险因素。平均随访15个月。结论：在这一系列病例中，气动视网膜固定术修复RRD的效果不如大多数已发表的大型报道。然而，气动视网膜固定术失败后巩膜扣带术或平坦部玻璃体切割术并未对最终随访时的视力产生负面影响。
Aim: To evaluate the success rate and complications of pneumatic retinopexy performed at a university hospital and to identify which patients are best suited for pneumatic retinopexy.Methods: This was an interventional case series. Retrospective review of 61 patients who had pneumatic retinopexy performed by two retina surgeons at two University of California, San Francisco hospitals between 1998 and 2004. Patients who had been treated for rhegmatogenous retinal detachment (RRD) with pneumatic retinopexy were identified by reviewing operative reports and billing records. The primary outcome measure was anatomical reattachment of the retina with a single intervention. Secondary outcome measures included postoperative visual acuity and postoperative complications.Results: 33 of 61 (54%) cases were successful with a single procedure. 40 of 61 (66%) cases were successful with repeat injection of gas or laser retinopexy alone. All cases had anatomical success at final follow up. Age, myopia, lens status, and number of breaks were not proved to be risk factors for failure. The average duration of follow up was 15 months.Conclusions: In this case series, pneumatic retinopexy was less effective for the repair of RRD than most large published reports. However, failure of pneumatic retinopexy followed by scleral buckle or pars plana vitrectomy did not negatively influence visual acuity at final follow up.