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首页> 外文期刊>Clinical ophthalmology >Long-term follow-up of vitrectomy, with or without 360° encircling buckle, for rhegmatogenous retinal detachment due to inferior retinal breaks
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Long-term follow-up of vitrectomy, with or without 360° encircling buckle, for rhegmatogenous retinal detachment due to inferior retinal breaks

机译：玻璃体切除术的长期随访，有无360°环扣，用于因视网膜下裂而引起的流源性视网膜脱离

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Objective: The aim of this study was to report and compare the anatomic and functional results of primary vitrectomy with and without 360° encircling scleral buckle (SB) for the treatment of rhegmatogenous retinal detachment (RRD) due to inferior retinal break(s). Background: A variety of options, including SB, pars plana vitrectomy (PPV) with or without SB, and pneumatic retinopexy have been described as methods to repair RRDs. The use of additional SB with vitrectomy for RRD associated with inferior breaks has been a recent controversy after the introduction of transconjunctival cannula systems. Patients and methods: A retrospective, interventional, comparative case study was performed. In this study, we reviewed 105 consecutive patients who underwent vitrectomy for primary RRD with inferior retinal break(s) at the vitreoretinal center, performed by a single surgeon. Ninety four patients (94 eyes) were followed up for at least 4?months after silicon oil removal (SOR), and were analyzed. They were divided into two groups: group I included 50 patients who underwent PPV alone + silicon oil (SO); and group II included 44 patients who underwent PPV with 360° SB + SO. The essential parameters were single-operation success rate (SOSR) before SOR, incidence of retinal redetachment after SOR, and final visual acuity. Results: SOSR was obtained in 89 eyes (47 [94%] in group I and 42 [95.5%] in group II). From overall 59 phakic retinal detachments (RDs), SOSR was obtained in 56 eyes (30 in group I [93.8%] and 26 in group II [96.3%]) while from overall 35 aphakic or pseudophakic RDs, SOSR was obtained in 33 eyes (17 in group I [94.4%] and 16 in group II [94.1%]). Retinal redetachments after SOR occurred in three patients in group I and two patients in group II. Visual acuity improvement was greater in group I than in group II before SOR. Conclusion: Both surgical procedures had similar reattachment rates. The addition of 360° SB to PPV + SO might not have additional benefits in patients with RD due to inferior retinal break.
机译：目的：这项研究的目的是报告和比较有无360°环绕巩膜扣（SB）的原发玻璃体切除术治疗因视网膜下裂而引起的流源性视网膜脱离（RRD）的解剖学和功能结果。背景：已经描述了多种选择，包括SB，有或无SB的pars平板玻璃体切除术（PPV）以及气动视网膜手术都是修复RRD的方法。经结膜套管系统引入后，玻璃体切除术在伴有下断裂的RRD中使用额外的SB已成为近期争议。患者和方法：进行了回顾性，介入性，比较病例研究。在这项研究中，我们回顾了105位连续手术的患者，这些患者由一名外科医生在玻璃体视网膜中心进行了原发性RRD的视网膜下下裂手术。去除硅油（SOR）后对94例患者（94眼）进行了至少4个月的随访，并进行了分析。他们分为两组：第一组包括50例单独接受PPV +硅油（SO）的患者;第二组包括44例接受360°SB + SO的PPV的患者。基本参数是SOR之前的单次手术成功率（SOSR），SOR之后的视网膜脱离的发生率以及最终的视力。结果：在89眼中获得了SOSR（I组为47 [94％]，II组为42 [95.5％]）。从总共59眼晶状体视网膜脱离（RD）中，获得了56眼SOSR，其中I组30眼（93.8％）和II组26眼（96.3％），而从全部35眼无晶体或假晶状体RD中，获得了SOSR 33眼。 （第一组17人[94.4％]，第二组16人[94.1％]）。第一组中的三名患者和第二组中的两名患者发生了SOR后的视网膜脱离。在进行SOR之前，第一组的视敏度改善大于第二组。结论：两种外科手术的再附着率相似。由于视网膜下裂，在PPV + SO中增加360°SB对RD患者可能没有其他好处。

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