外周性视网膜脱离性低斜视的手术治疗及长期随访。

IF 2.4 Q2 OPHTHALMOLOGY
Leandro Cabral Zacharias, Lívia da Silva Conci, Davi Paraguassu de Sousa Martins, Rony Carlos Preti, Leonardo Proveti Cunha, Mario Luiz Ribeiro Monteiro
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引用次数: 0

摘要

目的:探讨玻璃体切除术后周边环性视网膜脱离(PCD)所致低斜视的手术治疗及长期随访。方法:对玻璃体切割术后诊断为PCD继发低斜视的眼睛进行回顾性分析。收集和分析患者人口统计资料、并发症、管理和治疗结果。结果:本研究共纳入4只眼。术前最佳矫正视力(BCVA)中位数为20/200,平均术前眼压(IOP)为4.5 mmHg。虹膜红肿1例。所有患者均行周围视网膜切除术,以去除脱落的视网膜并解除睫状体牵引。所有眼视网膜完全复位。最终BCVA为20/200 ~ 20/50,虹膜红肿消退。视网膜切除术后12个月,平均IOP改善至12.25 mmHg。平均随访时间为5年(2 ~ 7年)。结论:对于PCD相关性低斜视患者,积极剥离和360度修整前视网膜有助于缓解睫状体牵拉和清除缺血组织,恢复最低限度的足水量。试验注册:该回顾性研究已获得机构审查委员会批准,注册编号为77599724.7.000.00 .0068。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Surgical management and long-term follow-up of ocular hypotony associated with peripheral circumferential retinal detachment.

Purpose: This study aimed to evaluate the surgical management and long-term follow-up of hypotony related to post-vitrectomy peripheral circumferential retinal detachment (PCD).

Methods: Eyes diagnosed with hypotony secondary to PCD after pars plana vitrectomy were retrospectively reviewed. The patient demographic data, complications, management, and treatment outcomes were collected and analyzed.

Results: Four eyes were included in this study. The median preoperative best-corrected visual acuity (BCVA) was 20/200 and the mean preoperative intraocular pressure (IOP) was 4.5 mmHg. One case had rubeosis iridis. All eyes underwent peripheral retinectomy to remove the detached retina and release ciliary body traction. Complete retinal reattachment was achieved in all eyes. The final BCVA ranged from 20/200 to 20/50 and regression of rubeosis iridis was observed. Mean IOP improved to 12,25 mmHg at 12 months after the retinectomy. The mean follow- up time was 5 years (range 2-7 years).

Conclusion: Aggressive dissection and 360º trimming of the anterior retina is helpful to relieve ciliary body traction and remove ischemic tissue, restoring minimally adequate aqueous production in cases of hypotony related to PCD.

Trial registration: This retrospective study was approved by the Institutional Review Board, under registration number 77599724.7.0000.0068.

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来源期刊
CiteScore
3.50
自引率
4.30%
发文量
81
审稿时长
19 weeks
期刊介绍: International Journal of Retina and Vitreous focuses on the ophthalmic subspecialty of vitreoretinal disorders. The journal presents original articles on new approaches to diagnosis, outcomes of clinical trials, innovations in pharmacological therapy and surgical techniques, as well as basic science advances that impact clinical practice. Topical areas include, but are not limited to: -Imaging of the retina, choroid and vitreous -Innovations in optical coherence tomography (OCT) -Small-gauge vitrectomy, retinal detachment, chromovitrectomy -Electroretinography (ERG), microperimetry, other functional tests -Intraocular tumors -Retinal pharmacotherapy & drug delivery -Diabetic retinopathy & other vascular diseases -Age-related macular degeneration (AMD) & other macular entities
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