Inferior retinal detachment repair using vitrectomy with or without scleral buckling.

IF 2.3 2区医学 Q2 OPHTHALMOLOGY

Retina-The Journal of Retinal and Vitreous Diseases Pub Date : 2024-07-18 DOI:10.1097/IAE.0000000000004216

Mélanie Hébert, Jérôme Garneau, Sihame Doukkali, Eunice You, Serge Bourgault, Mathieu Caissie, Éric Tourville, Ali Dirani

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引用次数: 0

Abstract

Purpose: To compare outcomes in inferior rhegmatogenous retinal detachment (RRD) repair using pars plana vitrectomy (PPV) or PPV with scleral buckle (PPV-SB).

Methods: Patients operated for inferior RRD at a tertiary care center between 2014 and 2018 were included. Inferior RRD was defined as retinal detachment with tears between 4:00 and 8:00 clock hours in detached retina. Non-RRD etiologies (e.g., traumatic, tractional), proliferative vitreoretinopathy (PVR) grade ≥C2, and silicone oil use were excluded. Single surgery anatomic success (SSAS) was defined as absence of reoperation for recurrent RRD during follow-up.

Results: There were 366 patients included of which 260 (71%) were operated using PPV-SB. SSAS was achieved in 96 (91%) of PPV patients and 227 (87%) of PPV-SB patients (p=0.38) over a median follow-up of 15 months. At final follow-up, PHVA was 0.18 [0.10, 0.30] among PPV patients and 0.18 [0.10, 0.40] among PPV-SB (Snellen equivalent: 20/30; p=0.03). After adjusting for demographic (i.e., age and sex) and preoperative characteristics (i.e., macula on status, baseline PHVA, and grade C1 PVR), PPV-SB did not alter SSAS (p=0.210).

Conclusions: Following inferior RRD repair, there were no significant differences in SSAS between patients undergoing PPV and PPV-SB in this large, retrospective cohort.

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使用玻璃体切除术进行视网膜下脱离修复，同时使用或不使用巩膜扣带。

目的：比较使用玻璃体旁切除术（PPV）或带巩膜扣带的PPV（PPV-SB）修复下流变性视网膜脱离（RRD）的疗效：纳入2014年至2018年期间在一家三级医疗中心接受下部RRD手术的患者。下位 RRD 的定义是：视网膜脱离时间在 4:00 至 8:00 之间，脱离视网膜有裂孔。非RRD病因（如外伤性、牵引性）、增殖性玻璃体视网膜病变（PVR）等级≥C2以及使用硅油的情况不包括在内。单次手术解剖成功（SSAS）的定义是随访期间未因复发 RRD 而再次手术：结果：共纳入了 366 例患者，其中 260 例（71%）使用 PPV-SB 进行了手术。在中位 15 个月的随访中，96 名 PPV 患者（91%）和 227 名 PPV-SB 患者（87%）达到了 SSAS（P=0.38）。在最终随访中，PPV 患者的 PHVA 为 0.18 [0.10, 0.30]，PPV-SB 患者的 PHVA 为 0.18 [0.10, 0.40]（斯奈伦视力等值：20/30；P=0.03）。在调整了人口统计学特征（即年龄和性别）和术前特征（即黄斑状态、基线 PHVA 和 C1 级 PVR）后，PPV-SB 并未改变 SSAS（P=0.210）：结论：在这一大型回顾性队列中，下行 RRD 修复术后，接受 PPV 和 PPV-SB 治疗的患者在 SSAS 方面没有显著差异。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Retina-The Journal of Retinal and Vitreous Diseases 医学-眼科学

CiteScore

5.70

自引率

9.10%

发文量

554

审稿时长

3-6 weeks

期刊介绍： RETINA® focuses exclusively on the growing specialty of vitreoretinal disorders. The Journal provides current information on diagnostic and therapeutic techniques. Its highly specialized and informative, peer-reviewed articles are easily applicable to clinical practice. In addition to regular reports from clinical and basic science investigators, RETINA® publishes special features including periodic review articles on pertinent topics, special articles dealing with surgical and other therapeutic techniques, and abstract cards. Issues are abundantly illustrated in vivid full color. Published 12 times per year, RETINA® is truly a “must have” publication for anyone connected to this field.