[1]刘 静,朱忠桥,吕伯昌,等.玻璃体切割联合过滤空气填充术治疗孔源性视网膜脱离30例*[J].陕西医学杂志,2019,(6):711-714.
　LIU Jing,ZHU Zhongqiao,LV Bochang,et al.Pars plana vitrectomy for Rhegmatogenous retinal detachment with filtered air tamponade[J].,2019,(6):711-714.
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玻璃体切割联合过滤空气填充术治疗孔源性视网膜脱离30例*
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《陕西医学杂志》[ISSN:1000-7377/CN:61-1281/TN]

卷:
期数:
2019年6期
页码:
711-714
栏目:
临床研究
出版日期:
2019-06-05

文章信息/Info

Title:
Pars plana vitrectomy for Rhegmatogenous retinal detachment with filtered air tamponade
文章编号:
DOI:〖HT5K〗10.3969/j.issn.1000-7377.2019.06.007
作者:
刘 静; 朱忠桥; 吕伯昌; 周卓琳
西安市第四医院（西安交通大学附属广仁医院）眼科（西安 710004）
Author(s):
LIU Jing; ZHU Zhongqiao; LV Bochang; et al.
Department of Ophthalmology,Xi’an No.4 Hospital (Guangren Hospital,Xi’an Jiao Tong University School of Medicine)（Xi’an 710004）
关键词:
玻璃体切割术; 空气填充; 孔源性视网膜脱离; 视力; 眼压
Keywords:
Key words Vitrectomy; Air tamponade; Rhegmatogenous retinal detachment; Vision; Eye pressure
分类号:
R779.6
文献标志码:
A
摘要:
摘 要 〖HT5K〗 目的：评估27G经睫状体平坦部玻璃体切割术(PPV)联合过滤空气填充治疗孔源性视网膜脱离(RRD)的疗效和安全性。方法：收集RRD患者患眼30例30眼，裂孔均位于上方且裂孔偏后，裂孔处有血管骑跨或多个裂孔不在同一圆周，不适合行外路手术者，排除复发性RRD、增殖性玻璃体视网膜病变(PVR)C2及以上、巨大视网膜裂孔者，行27G PPV联合过滤空气填充。随访1周、1月、3月、6月，记录最佳矫正视力(BCVA)和眼压，观察视网膜是否复位、玻璃体腔气体吸收情况以及手术相关并发症的发生情况。结果：术眼的术前平均BCVA(Log MAR)为1.10±0.40，术后1周为0.70±0.92，术后1月为0.60±0.31，术后3月为0.55±0.30，术后6月为0.6±0.30，手术前后术眼BCVA总体比较差异有统计学意义(F=63.12，P<0.01)，术后1周、1月、3月、6月BCVA均高于术前，差异均有统计学意义(均P<0.05)。术眼的术前平均眼压为(11.2±3.6)mmHg，术后1周为(20.3±2.3)mmHg，术后1月为(17.3±2.3)mmHg，术后3月为(15.6±2.4)mmHg，术后6月为(16.4±3.2)mmHg，手术前后术眼眼压总体比较差异有统计学意义(F=15.82，P<0.01)，术后1周、1月、3月、6月眼压均高于术前，差异均有统计学意义(均P<0.05)。术眼术后一次性手术视网膜解剖复位者30眼，复位率达到100％，气体完全吸收平均时间为(10.7±3.6)d。在随访期间，有1眼在术后3月出现复发性视网膜脱离。2眼术后3月发生并发性白内障，其余未出现其他并发症。结论：27G PPV联合过滤空气填充治疗RRD安全且有效。
Abstract:
Abstract Objective:To evaluate the effect and safety of 27-gauge pars plana vitrectomy(PPV) in repairing rhegmatogenous retinal detachment(RRD)with filtered air tamponade. Methods:Thirty eyes with RRD caused by superior retinal breaks were included. Exclusion criteria were secondary RRD,proliferative vitreoretinopathy of grade C2 or greater, and giant retinal tears. A 27-gauge PPV with intraocular filtered air tamponade was carried out. Patients were followed up at 1 week, 1, 3 and 6 months.Outcome measures included best corrected visual acuity(BCVA),intraocular pressure(IOP), retinal attachment rate,air bubble resolution, and complications. Results:The mean BCVA(Log MAR) was 1.10±0.40,0.70±0.92,0.60±0.31,0.55±0.30 and 0.60±0.30 before surgery,1 week,1 months,3 months and 6 months after surgery respectively.There was a significant difference among them (F=63.12,P<0.01),and the BCVA at 1 week ,1 months, 3 months and 6 months after surgery was evidently improved in comparison with before surgery(both at P<0.05).The mean IOP was (11.2±3.6),(20.3±2.3),(17.3±2.3),(15.6±2.4) and (16.4±3.2)mmHg before surgery,1 week,1 months,3 months and 6 months after surgery respectively.There was a significant difference among them (F=15.82,P<0.01),and the IOP at 1 week ,1 months, 3 months and 6 months after surgery was evidently higher than that before surgery(both at P<0.05). The reattachment rate by a single procedure was 100%.The complete resolution of the air bubble took on average (10.7±3.6) days. Only one eye presented a recurrent RD at 3 months after surgery.Two eyes developed nuclear cataracts at 3 months after surgery.No other postoperative complication was reported. Conclusions:27-gauge vitrectomy and filtered air tamponade for RRD is an effective and safe approach.

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备注/Memo

备注/Memo:
*陕西省自然科学基础研究计划项目（2017JM8082）
更新日期/Last Update: 2019-06-20