• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>BMC Ophthalmology >Anatomical success rate of pars plana vitrectomy for treatment of complex rhegmatogenous retinal detachment
【24h】

Anatomical success rate of pars plana vitrectomy for treatment of complex rhegmatogenous retinal detachment

机译：平板玻璃体切除术治疗复杂性流源性视网膜脱离的解剖成功率

获取原文
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Background Pars plana vitrectomy (PPV) is preferred surgical procedure for the management of complex rhegmatogenous retinal detachment (RRD). The purpose of this study was to evaluate the anatomical results of primary PPV for the treatment of primary complex RRD and to determine the influence of lens status, tamponading agent, preoperative proliferative vitreoretinopathy (PVR) and axial length (AL) of the eye upon the anatomical outcome. Methods A retrospective consecutive chart analysis was performed on 117 eyes from 117 patients with complex RRD managed with PPV. Fifty-nine eyes were phakic and 58 pseudophakic eyes. All patients had a minimum follow-up period of 12?months. Eyes were classified into groups using independent variables (first classification based upon lens status and tamponade used, second classification based upon lens and PVR status and third classification based upon AL of the eye). The groups were compared for anatomical outcomes (dependent variables) using nonparametric- or, in case of normally distributed data, parametric- statistical tests. Results Retinal reattachment rate in phakic eyes was 94.9% compared to 93.1% in pseudophakic, with no statistically significant difference between the two. The overall retinal reattachment rate with single surgery was 94.0%. Final reattachment rate was 97.4%. In case of established PVR?≥?C1, the reattachment rate was not statistically different (92.6%) from eyes with no PVR (91.1%) irrespective of lens status. A statistically significant difference was found between redetachment rates only between phakic eyes with gas tamponade compared to silicon oil (SO) ( p =?0.001). Reattachment rate proved to be similar in both AL groups (≤24?mm and?>?24?mm). Conclusions High anatomical success rate of primary vitrectomy for complex RRD with either gas or SO tamponade was achieved in phakic as well as pseudophakic eyes irrespective of AL of the eye.
机译：背景平面玻璃体玻璃体切除术（PPV）是处理复杂的流源性视网膜脱离（RRD）的首选外科手术方法。这项研究的目的是评估原发性PPV治疗原发性复杂RRD的解剖学结果，并确定晶状体状态，穿心剂，术前增殖性玻璃体视网膜病变（PVR）和眼轴长度（AL）对其的影响。解剖结果。方法回顾性分析连续性PPV治疗的117例复杂RRD患者的117只眼。 59只眼有晶状体眼，58只假晶状体眼。所有患者的最小随访期为12个月。使用独立变量将眼睛分为几组（基于镜片状态和所用填塞物的第一分类，基于镜片和PVR状态的第二分类，以及基于眼睛AL的第三分类）。使用非参数或在统计数据为正态分布的情况下，比较各组的解剖学结果（因变量）。结果有晶状体眼的视网膜再附着率为94.9％，假晶状体为93.1％，两者之间无统计学差异。单次手术的总体视网膜复位率为94.0％。最终重新安置率为97.4％。在PVR≥≥C1的情况下，与没有PVR的眼睛（91.1％）相比，重新附着率无统计学差异（92.6％），而与晶状体状态无关。与硅油（SO）相比，仅在有气填塞的有晶状体眼的复眼率之间，有统计学上的显着差异（p = 0.001）。在两个AL组中，重新附着率均相似（≤24？mm和？>？24？mm）。结论有晶状眼和假晶状体眼的复杂RRD术中，无论有无AL眼，原发玻璃体切除术的解剖学成功率均很高。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号