{"title":"视网膜下增生性玻璃体视网膜病变的切除：病例系列和文献回顾。","authors":"Sukhum Silpa-Archa, Pawas Lalitwongsa","doi":"10.1186/s40942-025-00704-2","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>To present the results of a simplified technique for removing subretinal proliferation bands (SPB) using membrane forceps and a vitrectomy aspiration cutter.</p><p><strong>Methods: </strong>Retrospective interventional case series.</p><p><strong>Results: </strong>Out of 241 eyes (241 patients), 31 (13%) had SPB detected preoperatively or intraoperatively and underwent pars plana vitrectomy with SPB removal using membrane forceps and an aspiration cutter. Of these 31 eyes, the most common PVR grade was C3 (39%), while the most severe was D1 (10%). 61% of eyes underwent a combined scleral buckling procedure, and all eyes were tamponaded intraoperatively. SPB was completely removed in 74% (23/31) of cases. Intraoperative complications were detected in 10% (3/31): retinal hemorrhage (2/31) and subretinal hemorrhage (1/31). 84% (26/31) had complete retinal reattachment after a median follow-up time of 10 (range, 2-32) months, and 74% (23/31) of patients reported an improvement in BCVA after surgery.</p><p><strong>Conclusions: </strong>Conclusions: For SPB removal, the use of an aspiration cutter can improve grasping of the band and its stump, reduce band fracturing, and minimize instrument exchanges during removal.</p>","PeriodicalId":14289,"journal":{"name":"International Journal of Retina and Vitreous","volume":"11 1","pages":"80"},"PeriodicalIF":2.4000,"publicationDate":"2025-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12261577/pdf/","citationCount":"0","resultStr":"{\"title\":\"Removal of subretinal proliferative vitreoretinopathy: case series and literature review.\",\"authors\":\"Sukhum Silpa-Archa, Pawas Lalitwongsa\",\"doi\":\"10.1186/s40942-025-00704-2\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>To present the results of a simplified technique for removing subretinal proliferation bands (SPB) using membrane forceps and a vitrectomy aspiration cutter.</p><p><strong>Methods: </strong>Retrospective interventional case series.</p><p><strong>Results: </strong>Out of 241 eyes (241 patients), 31 (13%) had SPB detected preoperatively or intraoperatively and underwent pars plana vitrectomy with SPB removal using membrane forceps and an aspiration cutter. Of these 31 eyes, the most common PVR grade was C3 (39%), while the most severe was D1 (10%). 61% of eyes underwent a combined scleral buckling procedure, and all eyes were tamponaded intraoperatively. SPB was completely removed in 74% (23/31) of cases. Intraoperative complications were detected in 10% (3/31): retinal hemorrhage (2/31) and subretinal hemorrhage (1/31). 84% (26/31) had complete retinal reattachment after a median follow-up time of 10 (range, 2-32) months, and 74% (23/31) of patients reported an improvement in BCVA after surgery.</p><p><strong>Conclusions: </strong>Conclusions: For SPB removal, the use of an aspiration cutter can improve grasping of the band and its stump, reduce band fracturing, and minimize instrument exchanges during removal.</p>\",\"PeriodicalId\":14289,\"journal\":{\"name\":\"International Journal of Retina and Vitreous\",\"volume\":\"11 1\",\"pages\":\"80\"},\"PeriodicalIF\":2.4000,\"publicationDate\":\"2025-07-15\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12261577/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"International Journal of Retina and Vitreous\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1186/s40942-025-00704-2\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"OPHTHALMOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Journal of Retina and Vitreous","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1186/s40942-025-00704-2","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"OPHTHALMOLOGY","Score":null,"Total":0}
Removal of subretinal proliferative vitreoretinopathy: case series and literature review.
Background: To present the results of a simplified technique for removing subretinal proliferation bands (SPB) using membrane forceps and a vitrectomy aspiration cutter.
Methods: Retrospective interventional case series.
Results: Out of 241 eyes (241 patients), 31 (13%) had SPB detected preoperatively or intraoperatively and underwent pars plana vitrectomy with SPB removal using membrane forceps and an aspiration cutter. Of these 31 eyes, the most common PVR grade was C3 (39%), while the most severe was D1 (10%). 61% of eyes underwent a combined scleral buckling procedure, and all eyes were tamponaded intraoperatively. SPB was completely removed in 74% (23/31) of cases. Intraoperative complications were detected in 10% (3/31): retinal hemorrhage (2/31) and subretinal hemorrhage (1/31). 84% (26/31) had complete retinal reattachment after a median follow-up time of 10 (range, 2-32) months, and 74% (23/31) of patients reported an improvement in BCVA after surgery.
Conclusions: Conclusions: For SPB removal, the use of an aspiration cutter can improve grasping of the band and its stump, reduce band fracturing, and minimize instrument exchanges during removal.
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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