Our results of the quadruple procedure in combined vitrectomy.

IF 1.7 4区医学 Q3 OPHTHALMOLOGY

BMC Ophthalmology Pub Date : 2025-04-18 DOI:10.1186/s12886-025-04018-7

Mehmet Ozgur Zengin, Yusuf Ziya Güven, Mehmet Vural, Gozde Sahin Vural, Eyyup Karahan

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引用次数: 0

Abstract

Purpose: To reveal the outcomes of combined phacovitrectomy and supplementary scleral buckling (SB) surgery in patients with inferior break retinal detachment (RD) and proliferative vitreoretinopathy (PVR) ≥ Stage-C.

Methods: In this retrospective study, 22 eyes of 22 patients who underwent surgery in Bozyaka Training and Research Hospital between 2018 and 2020 were included. The demographic data, follow-up duration, preoperative & postoperative best-corrected visual acuity (BCVA) (Snellen), intraocular pressure (IOP), final anatomic status, and the recurrence rate of RD were recorded from the files of patients.

Results: The mean age of the patients was 56.9 ± 15.2 years, and follow-up duration was 16.6 ± 10.2 months. The internal tamponade was silicone oil (SO) in 16 patients (72.7%), and perfluoropropane (C₃F₈) in 6 patients (27.2%). The BCVA was improved from 0.0065 ± 0.014 to 0.26 ± 0.17 after surgery (p:0,0001), and IOP changed from 12.3 ± 2.5 mmHg to 15.3 ± 2.4 mmHg. During follow-up period, the recurrent RD was only found in one patient (4.50%) and following to second surgery, anatomical success was achieved in all of the patients (100%) in final visit.

Conclusion: The combined phacovitrectomy and SB is an effective and reliable surgical method in patients with inferior quadrant RD and advanced stage PVR.

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我们在联合玻璃体切除术中四重手术的结果。

目的：探讨下断性视网膜脱离（RD）合并增殖性玻璃体视网膜病变(PVR)≥c期患者行玻璃体切除联合巩膜扣合（SB）手术的疗效。方法：回顾性分析2018 - 2020年在Bozyaka培训研究医院接受手术治疗的22例患者的22只眼。记录患者的人口学资料、随访时间、术前术后最佳矫正视力（BCVA）（Snellen）、眼压（IOP）、最终解剖状态、RD复发率。结果：患者平均年龄56.9±15.2岁，随访时间16.6±10.2个月。内部填塞16例（72.7%）采用硅油（SO）， 6例（27.2%）采用全氟丙烷（C3F8）。术后BCVA由0.0065±0.014改善至0.26±0.17 (p: 0.0001)， IOP由12.3±2.5 mmHg改善至15.3±2.4 mmHg。在随访期间，复发性RD仅在1例患者中发现（4.50%），在第二次手术后，所有患者（100%）在最后一次就诊时均获得解剖成功。结论：下象限视网膜病变合并中晚期PVR联合晶状体切除术是一种有效、可靠的手术方法。

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

BMC Ophthalmology OPHTHALMOLOGY-

CiteScore

3.40

自引率

5.00%

发文量

441

审稿时长

6-12 weeks

期刊介绍： BMC Ophthalmology is an open access, peer-reviewed journal that considers articles on all aspects of the prevention, diagnosis and management of eye disorders, as well as related molecular genetics, pathophysiology, and epidemiology.