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首页> 外文期刊>American Journal of Ophthalmology: The International Journal of Ophthalmology >Influence of persistent submacular fluid on visual outcome after successful scleral buckle surgery for macula-off retinal detachment.
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Influence of persistent submacular fluid on visual outcome after successful scleral buckle surgery for macula-off retinal detachment.

机译:黄斑部视网膜脱离成功巩膜扣手术后,持续的黄斑液对视觉效果的影响。

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PURPOSE: To determine the influences of the extent and duration of persistent submacular fluid on final visual outcome after successful scleral buckle surgery for acute macula-off rhegmatogenous retinal detachment (RD). DESIGN: Prospective observational case series. METHODS: Forty-four consecutive patients (44 eyes) who underwent successful scleral buckle surgery for macula-off rhegmatogenous RD were enrolled patients underwent thorough ophthalmologic tests including best-corrected visual acuity (BCVA) assessments and optical coherence tomography (OCT) at one, three, six, nine, and 12 months postoperatively, until at least six months after the disappearance of subretinal fluid (SRF). Patients with persistent submacular fluid one month after surgery were assigned to group A and those without submacular fluid, to group B. In group A, patients whose submacular fluid disappeared before six months were assigned to group A1; the others, to group A2. The natural course of persistent SRF and associations between the extent and duration of SRF and postoperative BCVA were investigated. RESULTS: Twenty-three eyes (52.3%) were in group A and 21 eyes (47.7%) in group B. Twelve eyes (52.2%) were in group A1 and 11 eyes (47.8%) in group A2. SRF disappeared within 12 months after surgery without reoperation in all patients. No significant differences in final visual acuity (VA) were found among groups A, B, A1, and A2. Final VA was not found to be associated with SRF extent or duration. CONCLUSIONS: The presence and extent of submacular fluid after successful scleral buckle surgery for acute macula-off rhegmatogenous RD did not influence final VA or anatomic attachment.
机译:目的:确定成功的巩膜扣手术成功的黄斑脱落型血源性视网膜脱离(RD)后持久性黄斑积液的程度和持续时间对最终视觉效果的影响。设计:前瞻性观察病例系列。方法:对44例成功进行了巩膜带扣手术的黄斑型血源性RD连续患者(44眼)进行了全面的眼科检查,包括一次最佳矫正视力(BCVA)评估和光学相干断层扫描(OCT),术后三个,六个,九个和十二个月,直到视网膜下液(SRF)消失后至少六个月。术后1个月有持续性黄斑积液的患者被划入A组,而没有黄斑下积液的患者则被划入B组。其他的则归为A2组。研究了持续性SRF的自然过程以及SRF的程度和持续时间与术后BCVA之间的关联。结果:A组为23只眼(52.3%),B组为21只眼(47.7%)。A1组十二只眼(52.2%)和A2组为11只眼(47.8%)。所有患者均在术后12个月内SRF消失,无需再次手术。在A,B,A1和A2组之间,最终视敏度(VA)没有发现显着差异。未发现最终的VA与SRF程度或持续时间相关。结论:成功进行巩膜扣手术的黄斑下型血源性RD的黄斑下液的存在和程度并不影响最终的VA或解剖学附着。

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