Visual outcome and complications of 25-gauge vitrectomy for rhegmatogenous retinal detachment; 84 consecutive cases
Visual outcome and complications of 25-gauge vitrectomy for rhegmatogenous retinal detachment; 84 consecutive cases
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DOI：
10.1038/eye.2010.41
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发表时间：
2010-06-01
期刊：
影响因子：
3.9
通讯作者：
Nishida, K.
中科院分区：
文献类型：
--
作者：
Kunikata, H.;Nishida, K.
目的评价25号经结膜无缝线玻璃体切除术（25G-TSV）治疗孔源性视网膜脱离的视力及并发症。方法对84例连续行25G-TSV的RRD患者84只眼进行回顾性、连续、介入性病例分析。所有手术均由一名外科医生在同一中心进行。结果初、终再附着率分别为95.2和100%。术后第一周平均视力由0.78对数最小分辨角（logMAR）单位改善至0.17对数分辨角单位（P= 35 mm Hg）， 5眼（6.0%）检出。所有这些眼睛都有黄斑关闭的RRD，而黄斑上RRD的眼睛都没有IOP升高（P = 0.04）。结论25G-TSV是一种可行的RRD治疗方法，其视网膜再附着率与常规玻璃体切除术相当。然而，术后和术后视网膜并发症和术后IOP升高可能发生，特别是在术前黄斑脱落RRD的眼睛中。眼科学（2010）24,1071-1077；doi: 10.1038 / eye.2010.41;2010年4月16日在线发布
Purpose To assess the visual outcome and complications of 25-gauge transconjunctival sutureless vitrectomy (25G-TSV) for rhegmatogenous retinal detachments.Methods Retrospective, consecutive, interventional case series of 84 eyes of 84 consecutive patients with RRD who underwent 25G-TSV. All surgeries were performed by a single surgeon at a single centre.Results The initial and final reattachment rates were 95.2 and 100%, respectively. The mean visual acuity improved from 0.78 logarithm of the minimum angle of resolution (logMAR) units to 0.17 logMAR units at the final examination (P= 35 mm Hg was detected in five eyes (6.0%) within the first postoperative week. All of these eyes had a macula-off RRD, and none of the eyes with a macula-on RRD had an elevation of the IOP (P = 0.04).Conclusions Our findings indicate that 25G-TSV is a feasible treatment for RRD and leads to retinal reattachment rates comparable with those following conventional vitrectomy. However, intra-and postoperative retinal complications and postoperative elevation of the IOP can occur especially in eyes with a preoperative macula-off RRD. Eye (2010) 24, 1071-1077; doi: 10.1038/eye.2010.41; published online 16 April 2010