国际眼科杂志2024，Vol.24Issue(2)：277-283,7.DOI:10.3980/j.issn.1672-5123.2024.2.19
微创折叠球囊巩膜外加压治疗孔源性视网膜脱离的临床研究
Clinical study of rhegmatogenous retinal detachment treatment with minimally invasive foldable capsular buckle scleral buckling
孙旭阳 1陈太想 1李瑞 1孙文 1董方田2
作者信息
- 1. (570203)中国海南省海口市,海南省中医院眼科
- 2. (570203)中国海南省海口市,海南省中医院眼科||(100730)中国北京市,北京协和医院眼科
- 折叠
摘要
Abstract
·AIM:To investigate the clinical efficacy of minimally invasive foldable capsular buckle(FCB)scleral buckling in treating rhegmatogenous retinal detachment(RRD).
·METHOD:This retrospective study enrolled 11 patients(11 eyes)with RRD treated with minimally invasive FCB scleral buckling at the Hainan Traditional Chinese Medicine Hospital from May to July 2023.The surgeries were performed without subconjunctival anesthesia,extraocular muscle pulling,intraocular positioning,retinal cryotherapy or drainage of subretinal fluid,or FCB suture fixation.Furthermore,the best corrected visual acuity(BCVA),intraocular pressure and complications were observed.
·RESULTS:Minimally invasive FCB scleral buckling was performed on 11 eyes,with successful retinal reattachment in 10 eyes(91％),and the remaining 1 eye(9％)had postoperative retinal re-detachment and underwent vitrectomy with silicone oil filling for multiple retinal tears.One-time successful surgery was in 4 eyes(40％),gas injection in vitreous body after the surgery was performed in 1 eye(10％),FCB position adjustment after the surgery was performed in 3 eyes(30％),gas injection in vitreous body and FCB position adjustment after the surgery were performed in 2 eyes(20％);and FCB was removed 4-12 wk after the surgery in 5 eyes(50％),without retinal redetachment.The average BCVA(LogMAR)of the 10 eyes improved from 1.30±1.10 before surgery to 0.37±0.39 at 4 wk after surgery(P＜0.01);the average preoperative intraocular pressure was 11.51±3.37 mmHg and 13.72±2.57 mmHg at 4wk after surgery(P＞0.05).No serious complications occurred.
·CONCLUSION:Minimally invasive FCB scleral buckling effectively treats RRD with minimal injury,simple operation,time-saving,and fewer complications.关键词
折叠球囊/孔源性视网膜脱离/巩膜外加压/微创Key words
foidable capsular buckle/rhegmatogenous retinal detachment/scleral buckling/minimally invasive引用本文复制引用
孙旭阳,陈太想,李瑞,孙文,董方田..微创折叠球囊巩膜外加压治疗孔源性视网膜脱离的临床研究[J].国际眼科杂志,2024,24(2):277-283,7.
