眼科新进展2017，Vol.37Issue(2)：167-171,5.DOI:10.13389/j.cnki.rao.2017.0044
巩膜扣带术后影响视网膜复位和视力恢复的相关因素分析
Correlative factors analysis of affecting anatomical reattachment and vision restoration after scleral buckling surgery
朱磊 1李琳 2田晓燕 1刘涛 1陈萌 1徐佩 1邹晶 1谢安明3
作者信息
- 1. 723000陕西省汉中市,西安交通大学医学院附属三二○一医院眼科
- 2. 723000陕西省汉中市,汉中市口腔医院正畸科
- 3. 710061陕西省西安市,西安交通大学第一附属医院眼科
- 折叠
摘要
Abstract
Objeetive To analyze the effect of treatment of rhegmatogenous retinal detachment(RRD) by scleral bucking as well as the relative risk factors affecting the anatomical reattachment and visual recovery.Methods One hundred and fortyeight patients (148 eyes) with RRD treated by sclera buckling surgery in our hospital during January 2012 to January 2016 were retrospectively analyzed.The rate of postoperative retinal anatomic reattachment,the best corrected visual acuity (BCVA) and complications were observed.Logistic regression analysis was performed to analyze the correlative factors affecting the anatomical reattachment and postoperative vision restoration.R~ults Retinal reattachment achieved in 91.9％ after initial surgery and the final success rate for anatomic reattachment was 97.3％ assessed with ophthalmoscope and fundus photography.But these two rates were assessed with the optical coherence tomography (OCT) were 60.1％ and 80.4％ respectively.Single factor Logistic regression analysis showed that retinal detachment was affected by multiple breaks and Grade C1 PVR(all P ＜0.05);Single factor Logistic regression analysis showed that preoperative BCVA,course of disease,retinal detachment range,macular involvement or not had an impact on the postoperative recovery of BCVA (all P ＜ 0.05),preoperative age,refractive status,releasing retinal fluid or not,intravitreal gas injection,combined scleral buckling,and postoperative subretinal fluid,all of these factors had no effect on BCVA recovery after surgery (all P ＞ 0.05).And through multiple factors Logistic regression analysis,preoperative BCVA was an independent risk factor for BCVA recovery after surgery (P ＜ 0.05).Conclusion Scleral bucking is an effective technique for managing RRD,but multiple breaks and Grade C1 PVR are significant risk factors for anatomic.Preoperative BCVA,course of disease,retinal detachment range,macular involvement or not have the impact on the BCVA recovery after scleral buckling,and the preoperative BCVA is the key factor.Early diagnosis and early treatment as well as protecting the preoperative visual acuity can improve prognosis.关键词
孔源性视网膜脱离/巩膜扣带术/视力恢复/相关因素Key words
rhegmatogenous retinal detachment/scleral buckling/vision restoration/correlative factors分类
医药卫生引用本文复制引用
朱磊,李琳,田晓燕,刘涛,陈萌,徐佩,邹晶,谢安明..巩膜扣带术后影响视网膜复位和视力恢复的相关因素分析[J].眼科新进展,2017,37(2):167-171,5.
