眼科新进展2018，Vol.38Issue(3)：251-254,4.DOI:10.13389/j.cnki.rao.2018.0058
23G玻璃体切割术联合巩膜外垫压治疗下方裂孔伴增殖型孔源性视网膜脱离的疗效和安全性
23-Gauge pars plana vitrectomy and scleral buckle for the treatment of proliferative rhegmatogenous retinal detachment with inferior breaks
摘要
Abstract
Objective To compare the safety and efficacy of 23-Gauge pars plana vitrectomy (PPV) and PPV combined with scleral buckling-PPV (SB-PPV) in proliferative rhegmatogenous retinal detachments with inferior breaks.Methods Retrospectively nonrandomized clinical case study was conducted in 70 patients with proliferative rhegmatogenous retinal detachment associated with inferior breaks between January 2013 and December 2016,including 39 eyes receiving SB-PPV procedures as the SB-PPV group and 31 eyes undergoing PPV procedures as the PPV group.And anatomical success rate for one procedure,lens trauma rate,retinotomy rate,postoperative best corrected visual acuity (BCVA) outcome and intraocular pressure (IOP) were recorded and analyzed.Results The anatomical success rate for one procedure was 92.3％ (36/ 39) in the SB-PPV group and 74.2％ (23/31) in the PPV group,and the difference was statistically significant (P ＜ 0.035).The lens trauma rate was 2.6％ (1/39) in the SB-PPV group and 19.4％ (6/31) in PPV group,with the difference being statistically significant (P ＜0.05).The retinotomy rate was 5.1％ (2/39) in the SB-PPV group and 32.3％ (10/31) in the PPV group,and the difference approached statistically significance (P ＜0.05).There was no significant difference in the postoperative BCVA and IOP between the two groups (both P ＞ 0.05).Conclusion SB-PPV can increase the anatomical success rate for one procedure in patients with rhegmatogenous retinal detachment associated with inferior breaks,and reduce retinotomy rate and lens trauma rate.关键词
视网膜脱离/玻璃体切割术/下方裂孔/巩膜外垫压术Key words
retinal detachment/pars plana vitrectomy/inferior break/scleral buckle分类
医药卫生引用本文复制引用
周怀胜,马海智,梁婉玲,曾山,黄慧君,晏世刚..23G玻璃体切割术联合巩膜外垫压治疗下方裂孔伴增殖型孔源性视网膜脱离的疗效和安全性[J].眼科新进展,2018,38(3):251-254,4.基金项目
广东省佛山市医学重点专科培育项目(编号:Fspy1-2015005) （编号:Fspy1-2015005）
广东省佛山市十三五医学重点专科和特色专科建设(编号:FSGSPZD135020) （编号:FSGSPZD135020）
广东省佛山市科技创新平台项目(编号:2013AG10012)Foshan Key Medical Training Project (No:Fspy1-2015005) （编号:2013AG10012）
Foshan 13th Five-year Key and Characteristic Medical building Project (No:FSGSPZD135020) （No:FSGSPZD135020）
Foshan Science and Technology Innovation Platform Project(No:2013AG10012) （No:2013AG10012）
