影响玻璃体视网膜手术后空气填塞持续时间的因素。

IF 2.4 3区 医学 Q2 OPHTHALMOLOGY
Fatih Bilgehan Kaplan, Cihan Kerekli, Onat Yakalı, Banu Açıkalın
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引用次数: 0

摘要

目的:在玻璃体旁切除术(PPV)中使用空气作为填塞物,因其恢复时间快而越来越受到青睐。我们旨在研究影响空气填塞物吸收时间的因素:研究包括78名患者的82只眼睛,他们都接受了以空气作为填塞物的PPV手术。所有患者在术前、术后第一和第三天都接受了详细的眼科检查。研究评估了人口统计学和临床特征、手术适应症以及是否同时进行了超声乳化手术。所有手术和检查均由一名外科医生进行。以毫升为单位测定眼内空气百分比和体积。根据从第一天到第三天眼内空气体积是否减少超过或少于 1.5 毫升,将患者分为两组:35.4%的患者同时接受了白内障手术。手术结束时,所有 82 只眼睛均为假性角膜。第一天眼球内的平均空气百分比为 68.90%,第三天为 47.29%。只有同时进行的白内障手术明显缩短了排气时间(p = 0.005)。其他因素,如糖尿病视网膜病变、青光眼和同时进行的抗血管内皮生长因子治疗,没有显示出明显的影响:该研究得出结论:同时进行的白内障手术明显缩短了 PPV 术后的空气填塞时间。我们认为这些发现对患者选择和手术计划至关重要,尤其是在视网膜脱离或黄斑裂孔手术等需要维持较长填塞时间的情况下:已知信息 空气作为填塞物在玻璃体视网膜手术中的应用越来越广泛。新发现 与单独进行手术相比,同时进行白内障和玻璃体视网膜手术时,空气填塞的吸收速度更快。糖尿病视网膜病变、青光眼和同时进行的抗血管内皮生长因子治疗等因素对玻璃体视网膜手术后眼内空气的吸收时间没有明显影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Factors affecting the duration of air tamponade following vitreoretinal surgery.

Purpose: Air as a tamponade in pars plana vitrectomy (PPV) is increasingly preferred due to its quick rehabilitation time. We aim to examine the factors affecting the absorption time of air tamponade.

Method: The study included 82 eyes from 78 patients who underwent PPV with air used as the tamponade. All patients underwent detailed ophthalmic examinations preoperatively and on the first and third postoperative days. The study evaluated demographic and clinical characteristics, surgical indications, and whether concurrent phacoemulsification surgery was performed. A single surgeon conducted all surgeries and examinations. The intraocular air percentage and volume in milliliters were determined. Patients were divided into two groups based on whether the intraocular air volume was reduced by more or less than 1.5 ml from the first to the third day.

Results: Concurrent cataract surgery was performed in 35.4% of the eyes. All 82 eyes were pseudophakic at the end of the surgery. The mean air percentage in the eyes was 68.90% on the first day and 47.29% on the third day. Only the concurrent cataract surgery significantly shortened the air elimination time (p = 0.005). Other factors, such as diabetic retinopathy, glaucoma, and concurrent anti-VEGF therapy, did not show a significant impact.

Conclusion: The study concluded that concurrent cataract surgery notably reduces air tamponade duration after PPV. We think these findings are crucial for patient selection and surgical planning, especially in cases where maintaining a longer tamponade duration is critical, such as in retinal detachment or macular hole surgeries.

Key messages: What is known The use of air as tamponade is becoming increasingly widespread in vitreoretinal surgery. What is new Compared to performing the surgeries separately, air tamponade shows faster absorption in concurrent cataract and vitreoretinal surgery. Factors such as diabetic retinopathy, glaucoma, and concurrent anti-VEGF therapy do not significantly affect the absorption time of intraocular air after vitreoretinal surgery.

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来源期刊
CiteScore
5.40
自引率
7.40%
发文量
398
审稿时长
3 months
期刊介绍: Graefe''s Archive for Clinical and Experimental Ophthalmology is a distinguished international journal that presents original clinical reports and clini-cally relevant experimental studies. Founded in 1854 by Albrecht von Graefe to serve as a source of useful clinical information and a stimulus for discussion, the journal has published articles by leading ophthalmologists and vision research scientists for more than a century. With peer review by an international Editorial Board and prompt English-language publication, Graefe''s Archive provides rapid dissemination of clinical and clinically related experimental information.
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