Efficacy of pars plana vitrectomy combined with segmental scleral buckling in the treatment of inferior rhegmatogenous retinal detachment
10.13389/j.cnki.rao.2023.0194
- VernacularTitle:玻璃体切割联合节段性巩膜扣带术治疗下方孔源性视网膜脱离的疗效观察
- Author:
Jiajia MA
1
;
Qiuming LI
;
Xiaoyan LU
;
Zhirou HU
Author Information
1. 450052 河南省郑州市,郑州大学第一附属医院眼二科
- Keywords:
pars plana vitrectomy;
scleral buckling;
inferior rhegmatogenous retinal detachment
- From:
Recent Advances in Ophthalmology
2023;43(12):979-982
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the clinical effect of pars plana vitrectomy combined with segmental scleral buckling(PPV-SSB)in the treatment of inferior rhegmatogenous retinal detachment(RRD).Methods Totally 87 eyes of 87 patients with inferior RRD who attended the Ophthalmology Department Ⅱ,the First Affiliated Hospital of Zhengzhou University from October 2020 to April 2022 were retrospectively included.Among them,45 patients(45 eyes)were treated with PPV-SSB(PPV-SSB group),and 42 patients(42 eyes)were treated with PPV(PPV group).The retinal reattachment rate,best corrected visual acuity(BCVA)and complications of patients who underwent single surgery in the two groups were compared.Results After a single surgery,the retinal reattachment rate was 95.56％(43/45)in the PPV-SSB group and 80.95％(34/42)in the PPV group,with a statistically significant difference(P=0.033).At 3 months and 6 months af-ter surgery,there were significant differences in BCVA between the PPV-SSB group and the PPV group(P=0.010,0.004).The incidence of postoperative phacoscotasmus in the PPV-SSB group and the PPV group was 28.89(13/45)and 54.76％(23/42),respectively,with a significant difference(P=0.018),while there were no significant differences in the inci-dence of the remaining few complications(all P＞0.05).Conclusion PPV-SSB has a higher retinal reattachment rate,better visual effect and fewer complications in the treatment of inferior RRD.
