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首页> 外文期刊>Japanese Journal of Ophthalmology >Complications associated with vortex vein damage in scleral buckling surgery for rhegmatogenous retinal detachment.
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Complications associated with vortex vein damage in scleral buckling surgery for rhegmatogenous retinal detachment.

机译：巩膜屈曲手术治疗眼源性视网膜脱离时发生与涡流静脉损伤相关的并发症。

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摘要

PURPOSE: To further understand postoperative complications after vortex vein damage during scleral buckling surgery. METHODS: The records of 34 patients (34 eyes) with vortex vein damage during scleral buckling surgery for rhegmatogenous retinal detachment were reviewed and compared with the records of 410 eyes undergoing similar surgery without vortex vein damage. RESULTS: Postoperative complications were noted in 16 eyes (47%) of the damaged vortex vein group. The incidence of choroidal detachment, vitreous opacities, intraocular pressure elevation, and vitreous hemorrhage were 27%, 18%, 9%, and 6%, respectively, with a higher incidence than in the group without vortex vein damage. Other complications included development of epiretinal membrane (9%), subretinal hemorrhage (3%), and anterior segment ischemia (3%). Serous choroidal detachment occurred in the early postoperative days and subsided within 3 weeks. Vitreous opacification became marked in the later periods and continued for 2 months or longer. The incidence of postoperative choroidal detachment in the vortex vein damage group was related to the patient's age (P = .002) and the cutting of the vortex veins (P = .048), but was not related to preoperative conditions of retinal detachment or the number of vortex veins damaged. All the eyes except one achieved retinal reattachment after initial surgery. CONCLUSIONS: Choroidal detachment and vitreous opacity are common after scleral buckling surgery with vortex vein damage. Although intervention of the vortex veins during scleral buckling surgery is acceptable when performing otherwise difficult to achieve ample scleral indentation, it should be minimized to avoid increased incidence of postoperative complications.
机译：目的：进一步了解巩膜扣紧术中旋涡静脉损伤后的术后并发症。方法：回顾性分析34例（34眼）巩膜屈曲性巩膜屈曲性视网膜脱离的患者的病历，并将其与410例进行类似手术而无漩涡静脉损伤的病历进行比较。结果：在受损的涡流静脉组中有16眼（47％）出现了术后并发症。脉络膜脱离，玻璃体混浊，眼压升高和玻璃体出血的发生率分别为27％，18％，9％和6％，其发生率高于无涡旋静脉损伤的组。其他并发症包括视网膜上膜发育（9％），视网膜下出血（3％）和前节缺血（3％）。浆膜脉络膜脱离发生在术后早期，并在3周内消退。玻璃体混浊在后期变得明显，并持续2个月或更长时间。旋涡静脉损伤组术后脉络膜脱离的发生率与患者的年龄（P = .002）和旋涡静脉的切除（P = .048）有关，但与术前视网膜脱离或视网膜脱离无关。涡旋静脉数量受损。初次手术后，除一只外，所有眼睛均已实现视网膜复位。结论：巩膜屈曲手术合并旋涡静脉损伤后，脉络膜脱离和玻璃体混浊很常见。尽管当进行难以实现足够的巩膜压痕的巩膜屈曲手术时对漩涡静脉进行干预是可以接受的，但应将其尽量减少，以免增加术后并发症的发生率。

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