Healaflow在27G玻璃体切割术中修补视网膜裂孔治疗孔源性视网膜脱离

Q4 Medicine

中华眼底病杂志 Pub Date : 2020-03-25 DOI:10.3760/CMA.J.CN511434-20190729-00239

X. Ren, C. Zheng, D. Wen, Yifeng Ke

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引用次数: 0

摘要

目的观察Healaflow在27G玻璃体切割联合空气填塞治疗孔源性视网膜脱离的安全性和有效性。方法以临床为基础的前瞻性连续研究。2017年3月至2018年5月，天津医科大学眼科医院诊断的50例RRD患者的51只眼睛被纳入研究。所有眼均采用27G玻璃体切除术，视网膜完全复位后，在视网膜裂孔和变性区周围进行激光光凝。使用钝的27G针用Healaflow完全覆盖视网膜撕裂的表面。注射量根据视网膜撕裂的大小确定，标准是完全包含撕裂。无术后体位限制。平均随访15.8±6.3个月。记录初次和最终解剖附着率、术后BCVA、术中和术后并发症、视网膜脱离复发等。结果50例患者共51眼，其中男性29眼（58.0%），女性21眼（42.0%），平均年龄58.5±1岁。28眼（54.9%）出现单一破裂，23眼（45.1%）出现2-5次破裂。术中黄斑受累32眼（62.7%），附着19眼（37.3%）。术前和术后3个月的logMAR BCVA分别为0.95±0.80和0.22±0.17。术前和术后logMAR BCVA差异有统计学意义（t=7.336，P<0.001）。31眼（60.8%）眼压短暂升高，随访期间无其他并发症发生。结论27G玻璃体切除术联合Healaflow贴剂和空气填塞治疗原发性RRD是一种安全、有效、方便的方法，成功率高，视觉功能恢复快。关键词：视网膜脱离/手术；视网膜穿孔/手术；玻璃体切除术

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Patching retinal breaks with Healaflow in 27G vitrectomy in the treatment of rhegmatogenous retinal detachment

Objective To observe the safety and effectiveness of patching retinal breaks with Healaflow in 27G vitrectomy combined with air tamponade in the treatment of rhegmatogenous retinal detachment (RRD). Methods Clinical-based prospective continuous study. From March 2017 to May 2018, 51 eyes of 50 RRD patients diagnosed in Tianjin Medical University Eye Hospital were included in the study. All eyes were treated with 27G vitrectomy, and laser photocoagulation was performed around retinal hiatus and denaturation zone after complete retinal reattachment. A blunt 27G needle was used to completely cover the surface of the retinal tear with the Healaflow. The injection amount was determined according to the size of the retinal tear, and the standard was that the tear was completely contained. There was no postoperative position limitation. The average follow-up was 15.8±6.3 months. The primary and final anatomic attachment rate, BCVA after operation, the intraoperative and postoperative complications, the recurrence of retinal detachment and so on were recorded. Results 51 eyes of 50 patients were enrolled, including 29 males (58.0%) and 21 females (42.0%). The average age was 58.5±1 years. A single break was present in 28 eyes (54.9%) and 2 to 5 breaks in 23 eyes (45.1%). The macula was involved in 32 eyes (62.7%) and attached in 19 eyes (37.3%) intraoperatively. Initial reattachment was achieved in 50 eyes (98.0%) and final reattachment in 51 eyes (100.0%). The logMAR BCVA before and 3 months after operation were 0.95±0.80 and 0.22±0.17, respectively. The difference of logMAR BCVA between before and after operation was significant (t=7.336, P<0.001). The intraocular pressure was elevated transiently in 31 eyes (60.8%). No other complications occurred during follow-up. Conclusion The treatment of primary RRD with 27G vitrectomy combined with Healaflow patch and air tamponade is a safe, effective and convenient method with high success rate and rapid recovery of visual function. Key words: Retinal detachment/surgery; Retinal perforations/surgery; Vitrectomy

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来源期刊

中华眼底病杂志 Medicine-Ophthalmology

CiteScore

0.40

自引率

0.00%

发文量

5383

期刊介绍： Chinese Journal of Ocular Fundus Diseases is the only scientific journal in my country that focuses on reporting fundus diseases. Its purpose is to combine clinical and basic research, and to give equal importance to improvement and popularization. It comprehensively reflects the leading clinical and basic research results of fundus disease disciplines in my country; cultivates professional talents in fundus disease, promotes the development of fundus disease disciplines in my country; and promotes academic exchanges on fundus disease at home and abroad. The coverage includes clinical and basic research results of posterior segment diseases such as retina, uveal tract, vitreous body, visual pathway, and internal eye diseases related to systemic diseases. The readers are medical workers and researchers related to clinical and basic research of fundus diseases. According to the journal retrieval report of the Chinese Institute of Scientific and Technological Information, the comprehensive ranking impact factor and total citation frequency of the Chinese Journal of Ocular Fundus Diseases have been among the best in the disciplines of ophthalmology, otolaryngology, and ophthalmology in my country for many years. The papers published have been included in many important databases at home and abroad, such as Scopus, Peking University Core, and China Science Citation Database (CSCD).