Retinal displacement following direct versus indirect fluid exchange in pars Plana vitrectomy for rhegmatogenous retinal detachment.

IF 1.4 4区 医学 Q3 OPHTHALMOLOGY
Fatemeh Abdi,Amin Zand,Mohammad Mirzakhan,Vahid Zarehosseinabadi,Pasha Anvari,Reza Mirshahi,Ahad Sedaghat,Mohammad Mahdi Taherian,Arzhang Gordiz,Sayyed Amirpooya Alemzadeh
{"title":"Retinal displacement following direct versus indirect fluid exchange in pars Plana vitrectomy for rhegmatogenous retinal detachment.","authors":"Fatemeh Abdi,Amin Zand,Mohammad Mirzakhan,Vahid Zarehosseinabadi,Pasha Anvari,Reza Mirshahi,Ahad Sedaghat,Mohammad Mahdi Taherian,Arzhang Gordiz,Sayyed Amirpooya Alemzadeh","doi":"10.1177/11206721241286123","DOIUrl":null,"url":null,"abstract":"PURPOSE\r\nTo compare the occurrence and characteristics of retinal displacement following direct perfluorocarbon liquid (PFCL)-silicone oil (SO) exchange versus indirect PFCL for air and air for SO exchange methods during pars plana vitrectomy (PPV) in patients with rhegmatogenous retinal detachment (RRD).\r\n\r\nMETHODS\r\nA comparative case series study was conducted on 58 eyes with recent RRD, undergoing standard three-port PPV with SO tamponade. Fluid exchange was performed using either direct or indirect methods. Postoperatively, a comprehensive ophthalmic examination and fundus autofluorescence (FAF) imaging were conducted at one month. The presence, amount, and direction of retinal displacement were assessed based on FAF imaging and compared between the direct and indirect fluid exchange groups.\r\n\r\nRESULTS\r\nFAF imaging at one month revealed retinal displacement in 41.4% of eyes in the direct group and 62.1% in the indirect group, with no statistical difference between them (P = 0.537). However, the mean displacement was significantly higher in the indirect group (282.61 ± 110.83 µm) compared to the direct group (220.33 ± 39.67 µm, P = 0.04). The direction of displacement (downward or upward) did not differ significantly between the groups (P = 0.093).\r\n\r\nCONCLUSIONS\r\nWhile the occurrence and location of postoperative retinal displacement did not significantly differ between direct and indirect fluid exchange methods during PPV for RRD, eyes treated with the direct method exhibited lower mean displacement compared to the indirect method. These findings suggest potential benefits of the direct exchange approach in minimizing retinal displacement following surgery.","PeriodicalId":12000,"journal":{"name":"European Journal of Ophthalmology","volume":null,"pages":null},"PeriodicalIF":1.4000,"publicationDate":"2024-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"European Journal of Ophthalmology","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1177/11206721241286123","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"OPHTHALMOLOGY","Score":null,"Total":0}
引用次数: 0

Abstract

PURPOSE To compare the occurrence and characteristics of retinal displacement following direct perfluorocarbon liquid (PFCL)-silicone oil (SO) exchange versus indirect PFCL for air and air for SO exchange methods during pars plana vitrectomy (PPV) in patients with rhegmatogenous retinal detachment (RRD). METHODS A comparative case series study was conducted on 58 eyes with recent RRD, undergoing standard three-port PPV with SO tamponade. Fluid exchange was performed using either direct or indirect methods. Postoperatively, a comprehensive ophthalmic examination and fundus autofluorescence (FAF) imaging were conducted at one month. The presence, amount, and direction of retinal displacement were assessed based on FAF imaging and compared between the direct and indirect fluid exchange groups. RESULTS FAF imaging at one month revealed retinal displacement in 41.4% of eyes in the direct group and 62.1% in the indirect group, with no statistical difference between them (P = 0.537). However, the mean displacement was significantly higher in the indirect group (282.61 ± 110.83 µm) compared to the direct group (220.33 ± 39.67 µm, P = 0.04). The direction of displacement (downward or upward) did not differ significantly between the groups (P = 0.093). CONCLUSIONS While the occurrence and location of postoperative retinal displacement did not significantly differ between direct and indirect fluid exchange methods during PPV for RRD, eyes treated with the direct method exhibited lower mean displacement compared to the indirect method. These findings suggest potential benefits of the direct exchange approach in minimizing retinal displacement following surgery.
流变性视网膜脱离的旁玻璃体切除术中直接与间接液体交换后的视网膜移位。
目的比较流变性视网膜脱离(RRD)患者在接受玻璃体旁切除术(PPV)时,直接用全氟化碳液体(PFCL)-硅油(SO)交换视网膜与间接用全氟化碳液体交换空气和用空气交换硅油的方法交换视网膜后,视网膜移位的发生率和特征。方法对 58 只新近发生视网膜脱离的眼睛进行了病例系列比较研究,这些眼睛接受了标准的三孔 PPV 术,并进行了硅油填塞。采用直接或间接方法进行液体交换。术后一个月进行了全面的眼科检查和眼底自动荧光成像(FAF)。根据 FAF 成像评估视网膜移位的存在、数量和方向,并在直接换液组和间接换液组之间进行比较。结果一个月后,FAF 成像显示直接换液组有 41.4% 的眼睛视网膜移位,间接换液组有 62.1%,两者之间无统计学差异(P = 0.537)。然而,间接组的平均移位(282.61 ± 110.83 µm)明显高于直接组(220.33 ± 39.67 µm,P = 0.04)。结论虽然在 PPV 治疗 RRD 的过程中,直接换液法和间接换液法在术后视网膜移位的发生率和位置上没有显著差异,但与间接换液法相比,直接换液法治疗的眼睛平均移位率更低。这些研究结果表明,直接换液法在减少术后视网膜移位方面具有潜在的优势。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
CiteScore
3.60
自引率
0.00%
发文量
372
审稿时长
3-8 weeks
期刊介绍: The European Journal of Ophthalmology was founded in 1991 and is issued in print bi-monthly. It publishes only peer-reviewed original research reporting clinical observations and laboratory investigations with clinical relevance focusing on new diagnostic and surgical techniques, instrument and therapy updates, results of clinical trials and research findings.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信