{"title":"气动视网膜固定术治疗年轻成人孔源性视网膜脱离的疗效。","authors":"Zeynep İpekli, Seren Pehlivanoğlu, Özgür Artunay","doi":"10.1177/25158414231208279","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>In young adults with rhegmatogenous retinal detachment, pneumatic retinopexy can be a cost-effective and minimally invasive highly effective method in suitable cases.</p><p><strong>Objectives: </strong>To evaluate the role of pneumatic retinopexy in the treatment of young adults with rhegmatogenous retinal detachment (RRD) and the factors that may affect the success of pneumatic retinopexy.</p><p><strong>Design: </strong>Retrospective study.</p><p><strong>Methods: </strong>The study included 67 eyes of 67 patients aged between 21 and 40 who underwent pneumatic retinopexy (PR) between January 2015 and June 2021 for primary RRD. We retrospectively analyzed the prognostic factors that may affect the success of PR, such as preoperative age, best corrected visual acuity, tear site, lens condition, and axial length.</p><p><strong>Results: </strong>PR was successful in 61.2% of the patients, whereas 38.8% required secondary surgery. Between the group that had a single surgery (Group 1) and the group that required secondary surgery (Group 2) the tear location, axial length, and volumes of gases used were statistically different (<i>p</i> = 0.04, <i>p</i> < 0.001, and <i>p</i> = 0.02, respectively). There was a significant difference in visual acuity before and after surgery in the group that was successful with a single surgery (Friedman χ<sup>2</sup> = 40.051, <i>p</i> < 0.001). There was no significant difference between the two groups in terms of intraocular pressure (<i>p</i> > 0.05), and glaucoma was not observed in the postoperative period.</p><p><strong>Conclusion: </strong>Since it is a minimally invasive and cost-effective method that provides rapid visual rehabilitation, it can be considered as first-line therapy in young adults who are suitable for PR.</p>","PeriodicalId":23054,"journal":{"name":"Therapeutic Advances in Ophthalmology","volume":null,"pages":null},"PeriodicalIF":2.3000,"publicationDate":"2023-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10617287/pdf/","citationCount":"0","resultStr":"{\"title\":\"Efficacy of pneumatic retinopexy in young adults with rhegmatogenous retinal detachment.\",\"authors\":\"Zeynep İpekli, Seren Pehlivanoğlu, Özgür Artunay\",\"doi\":\"10.1177/25158414231208279\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>In young adults with rhegmatogenous retinal detachment, pneumatic retinopexy can be a cost-effective and minimally invasive highly effective method in suitable cases.</p><p><strong>Objectives: </strong>To evaluate the role of pneumatic retinopexy in the treatment of young adults with rhegmatogenous retinal detachment (RRD) and the factors that may affect the success of pneumatic retinopexy.</p><p><strong>Design: </strong>Retrospective study.</p><p><strong>Methods: </strong>The study included 67 eyes of 67 patients aged between 21 and 40 who underwent pneumatic retinopexy (PR) between January 2015 and June 2021 for primary RRD. We retrospectively analyzed the prognostic factors that may affect the success of PR, such as preoperative age, best corrected visual acuity, tear site, lens condition, and axial length.</p><p><strong>Results: </strong>PR was successful in 61.2% of the patients, whereas 38.8% required secondary surgery. Between the group that had a single surgery (Group 1) and the group that required secondary surgery (Group 2) the tear location, axial length, and volumes of gases used were statistically different (<i>p</i> = 0.04, <i>p</i> < 0.001, and <i>p</i> = 0.02, respectively). There was a significant difference in visual acuity before and after surgery in the group that was successful with a single surgery (Friedman χ<sup>2</sup> = 40.051, <i>p</i> < 0.001). There was no significant difference between the two groups in terms of intraocular pressure (<i>p</i> > 0.05), and glaucoma was not observed in the postoperative period.</p><p><strong>Conclusion: </strong>Since it is a minimally invasive and cost-effective method that provides rapid visual rehabilitation, it can be considered as first-line therapy in young adults who are suitable for PR.</p>\",\"PeriodicalId\":23054,\"journal\":{\"name\":\"Therapeutic Advances in Ophthalmology\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":2.3000,\"publicationDate\":\"2023-10-30\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10617287/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Therapeutic Advances in Ophthalmology\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1177/25158414231208279\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2023/1/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"Q2\",\"JCRName\":\"OPHTHALMOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Therapeutic Advances in Ophthalmology","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1177/25158414231208279","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2023/1/1 0:00:00","PubModel":"eCollection","JCR":"Q2","JCRName":"OPHTHALMOLOGY","Score":null,"Total":0}
引用次数: 0
摘要
背景:在患有孔源性视网膜脱离的年轻人中,在合适的情况下,气动视网膜固定术是一种成本效益高、微创高效的方法。目的:评价气动视网膜固定术在年轻成人孔源性视网膜脱离(RRD)治疗中的作用,以及可能影响气动视网膜修复成功的因素。设计:回顾性研究。方法:该研究包括67名年龄在21岁至40岁之间的患者的67只眼睛,这些患者在2015年1月至2021年6月期间接受了气动视网膜固定术(PR)治疗原发性RRD。我们回顾性分析了可能影响PR成功的预后因素,如术前年龄、最佳矫正视力、撕裂部位、晶状体状况和轴长。结果:61.2%的患者PR成功,38.8%的患者需要二次手术。在单次手术组(第1组)和需要二次手术的组(第2组)之间,撕裂位置、轴向长度和使用的气体体积在统计学上有差异(p = 0.04,p p = 分别为0.02)。在单次手术成功的组中,手术前后的视力有显著差异(Friedmanχ2 = 40.051,p p > 0.05),术后未观察到青光眼。结论:由于它是一种微创且成本效益高的方法,可以提供快速的视觉康复,因此可以作为适合PR的年轻人的一线治疗。
Efficacy of pneumatic retinopexy in young adults with rhegmatogenous retinal detachment.
Background: In young adults with rhegmatogenous retinal detachment, pneumatic retinopexy can be a cost-effective and minimally invasive highly effective method in suitable cases.
Objectives: To evaluate the role of pneumatic retinopexy in the treatment of young adults with rhegmatogenous retinal detachment (RRD) and the factors that may affect the success of pneumatic retinopexy.
Design: Retrospective study.
Methods: The study included 67 eyes of 67 patients aged between 21 and 40 who underwent pneumatic retinopexy (PR) between January 2015 and June 2021 for primary RRD. We retrospectively analyzed the prognostic factors that may affect the success of PR, such as preoperative age, best corrected visual acuity, tear site, lens condition, and axial length.
Results: PR was successful in 61.2% of the patients, whereas 38.8% required secondary surgery. Between the group that had a single surgery (Group 1) and the group that required secondary surgery (Group 2) the tear location, axial length, and volumes of gases used were statistically different (p = 0.04, p < 0.001, and p = 0.02, respectively). There was a significant difference in visual acuity before and after surgery in the group that was successful with a single surgery (Friedman χ2 = 40.051, p < 0.001). There was no significant difference between the two groups in terms of intraocular pressure (p > 0.05), and glaucoma was not observed in the postoperative period.
Conclusion: Since it is a minimally invasive and cost-effective method that provides rapid visual rehabilitation, it can be considered as first-line therapy in young adults who are suitable for PR.