Comparison of scleral buckling and vitrectomy for retinal detachment resulting from flap tears in superior quadrants
Comparison of scleral buckling and vitrectomy for retinal detachment resulting from flap tears in superior quadrants
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DOI：
10.1016/s0021-5155(00)00377-4
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发表时间：
2001-03-01
影响因子：
2.4
通讯作者：
Hirakata, A
中科院分区：
文献类型：
--
作者：
Miki, D;Hida, T;Hirakata, A
目的：目的：比较玻璃体切除术与巩膜扣带术治疗单纯性上级视网膜脱离的疗效1990年1月至1996年12月期间，三名外科医生因瓣撕裂引起的上级视网膜脱离接受初次手术的225只有晶状体眼其中巩膜扣带术138眼，玻璃体切割术87眼，术后随访6个月以上。根据每位外科医生的偏好选择两种手术中的一种。结果：两组患者手术成功率分别为92%和100%。首次手术后视网膜再脱离的原因为5眼新裂孔，2眼玻璃体切除术后原有裂孔再裂孔，11眼巩膜扣带术后扣带位置不正。结论：对于上级孔源性视网膜脱离，一期玻璃体切除术与巩膜扣带术同样成功。尽管术后白内障形成的高发生率是主要缺点，但玻璃体切除术比巩膜扣带术有一些优势。(C)2001年日本眼科学会。
Purpose: To compare the surgical results of vitrectomy and scleral buckling for uncomplicated superior retinal detachment caused by flap tears.Methods: Included in the study were 225 patients (225 phakic eyes) undergoing primary surgery by three surgeons between January 1990 and December 1996 for superior retinal detachment caused by flap tears (138 eyes by scleral buckling, 87 eyes by vitrectomy); all patients had been followed up for longer than 6 months after surgery. The choice of one of the two procedures was based on each surgeon's preference. The surgical outcome and the rate of complications were retrospectively compared between the two groups of eyes.Results: Initial and final anatomical success rate were 92% and 100% after each procedure. Retinal redetachment after the initial procedure was due to new retinal breaks in 5 eyes, reopening of original breaks in 2 eyes of vitrectomy cases, and due to malpositioned buckle in 11 eyes of scleral buckling cases. Proliferative vitreoretinopathy occurred in 3 eyes of vitrectomy cases.Conclusion: Primary vitrectomy was as successful as scleral buckling for treating superior rhegmatogenous retinal detachment. Even though the high incidence of postoperative cataract formation was the major drawback, vitrectomy had some advantages over scleral buckling. (C) 2001 Japanese Ophthalmological Society.