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首页> 外文期刊>BMC Ophthalmology >Comparison of scleral buckling and vitrectomy using wide angle viewing system for rhegmatogenous retinal detachment in patients older than 35?years
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Comparison of scleral buckling and vitrectomy using wide angle viewing system for rhegmatogenous retinal detachment in patients older than 35?years

机译：35岁以上患者使用巩膜屈曲和玻璃体切除术使用广角观察系统对流源性视网膜脱离的比较

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Background To compare scleral buckling (SB) and pars plana vitrectomy (PPV) using a wide angle viewing system (WAVS) for uncomplicated phakic rhegmatogenous retinal detachment (RRD). Methods The medical records of patients with uncomplicated phakic RRD were retrospectively reviewed. Eyes with pseudophakic or attached fovea were excluded. Patients treated with SB were classified as group B, and PPV using WAVS as group V. Primary success rate, visual acuity (VA), macular complications, and sustained subretinal fluid (SRF) were compared between groups. Results Seventy-two eyes were included in group B and 57 eyes in group V. Group B had better preoperative VA (1.38?±?0.87 vs 1.84?±?0.97 in LogMAR, P?=?0.010), but worse final VA (0.51?±?0.48 vs 0.30?±?0.23, P?=?0.012) than group V. The primary success rate of 94.7?% in group V was higher than 77.8?% in group B (P?=?0.010). Final success rate was 100?% in both groups. There was no significant difference in macular complications between groups (P?=?0.087). Sustained SRF was found in 22 eyes in group B (38.6?%), while only two eyes in group V exhibited sustained SRF (2.8?%, P? Conclusions Pars plana vitrectomy using WAVS was more efficacious than SB for treating uncomplicated phakic RRD.
机译：背景为了比较巩膜屈曲（SB）和平面广眼玻璃体切除术（PPV），使用广角观察系统（WAVS）进行简单的晶状体眼源性视网膜脱离（RRD）。方法回顾性分析无晶状体眼RRD患者的病历。排除有假晶状体或附有中央凹的眼睛。用SB治疗的患者分为B组，使用WAVS的PPV作为V组。比较两组的主要成功率，视力（VA），黄斑并发症和视网膜下持续液（SRF）。结果B组包括72只眼，V组有57只眼。B组术前VA更好（LogMAR为1.38±0.87，1.84±0.97，P≥0.010），但最终VA较差（与V组相比，V1的初次成功率为94.7％，而在B组中的初次成功率为94.7％，而B组的初次成功率为94.7％，而P组的初次成功率为90.7％（P = 0.010）。两组的最终成功率为100％。两组之间的黄斑并发症没有显着差异（P = 0.087）。 B组的22眼发现持续的SRF（38.6％），V组只有2眼表现出持续的SRF（2.8 %%，P？）结论使用WAVS进行平板玻璃体切除术治疗复杂的有晶状体RRD更有效。

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