DisCoVisc substituted for perfluorocarbon liquid stabilizing the detached retina during vitrectomy for rhegmatogenous retinal detachment.

IF 2.3 2区 医学 Q2 OPHTHALMOLOGY
Yanbo Bao, Huangyi Lei, Yinong Guo, Yajun Liu, Suyu Liu, Hui Chen, Zhenggao Xie
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Abstract

Purpose: To investigate the effectiveness of using DisCoVisc as an alternative to perfluorocarbon liquid (PFCL) in stabilizing the detached retina during rhegmatogenous retinal detachment (RRD) surgery.

Methods: Thirty eyes of 30 patients with RRD underwent the DisCoVisc technique for stabilizing the detached retina. Following intraoperative air-fluid exchange and the aspiration of subretinal fluid, DisCoVisc was applied to seal retinal breaks, thereby stabilizing the detached retina. Subsequent removal of the peripheral and basal vitreous was then performed. Intraoperative vitrectomy duration, retinal reattachment rate, postoperative best-corrected visual acuity (BCVA), intraocular pressure (IOP), and intraoperative and postoperative complications were analyzed.

Results: Retinal reattachment was achieved in 28 eyes (28/30, 93.3%). The base of the vitreous was removed with a mean time of 10.17±2.94 min, and the total vitrectomy time was 22.93±4.97 min. At the last follow-up, the BCVA was 0.74±0.70 LogMAR, showing a significant improvement over the preoperative value of 1.44±1.25 LogMAR (Z=2.700, P=0.007). On the first postoperative day, the IOP was measured at 25.71±12.41 mmHg, exhibiting a statistically significant elevation compared to the preoperative IOP of 13.94±5.23 mmHg (P=0.000). There was no statistical difference in IOP at the last follow-up 14.01±2.68 mmHg compared to the preoperative IOP of 13.94±5.23 mmHg (P = 0.923). One patient developed macular hole after the operation, and there were no obvious complications during the operation.

Conclusions: DisCoVisc can effectively stabilize the detached retina during vitrectomy for RRD. Most significantly, it eliminated the risk of subfoveal PFCL residue-related complications.

在孔源性视网膜脱离玻璃体切除术中,用DisCoVisc代替全氟碳液体稳定脱离的视网膜。
目的:探讨在孔源性视网膜脱离(RRD)手术中使用DisCoVisc替代全氟碳液(PFCL)稳定离体视网膜的效果。方法:对30例RRD患者30眼采用DisCoVisc技术稳定离体视网膜。术中进行气液交换和视网膜下液抽吸后,应用DisCoVisc封堵视网膜破裂,从而稳定脱离的视网膜。随后切除周围和基底玻璃体。分析玻璃体切除术中持续时间、视网膜再附着率、术后最佳矫正视力(BCVA)、眼压(IOP)及术中、术后并发症。结果:视网膜再植28眼(28/30,93.3%)。玻璃体底部切除平均时间为10.17±2.94 min,总时间为22.93±4.97 min。末次随访时BCVA为0.74±0.70 LogMAR,较术前1.44±1.25 LogMAR有明显改善(Z=2.700, P=0.007)。术后第一天,IOP为25.71±12.41 mmHg,与术前的13.94±5.23 mmHg相比,有统计学意义的升高(P=0.000)。末次随访时眼压(14.01±2.68 mmHg)与术前(13.94±5.23 mmHg)比较,差异无统计学意义(P = 0.923)。1例患者术后出现黄斑裂孔,术中无明显并发症。结论:椎间盘粘连能有效稳定RRD玻璃体切除术中脱离的视网膜。最重要的是,它消除了中央凹下PFCL残留相关并发症的风险。
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
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.
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