Treatment of primary rhegmatogenous retinaldetachment with cryopexy in combination with intravitravitreal injection of expending gas
10.3969/j.issn.1006-5725.2015.18.034
- VernacularTitle:视网膜冷冻联合球内注气术选择性治疗原发性孔源性视网膜脱离
- Author:
Liping XUE
;
Min WU
;
Min HU
;
Xiaomei SUN
;
Yali PENG
;
Wenrong XU
;
Jingfei YANG
- Publication Type:Journal Article
- Keywords:
Rhegmatogenous retinaldetachment;
Cryopexy;
Intravitreal gas injection
- From:
The Journal of Practical Medicine
2015;(18):3042-3045
- CountryChina
- Language:Chinese
-
Abstract:
Objective To demonstrate the visual results and complications of an cryopexy in combination with intravitreal injection of expending gas in the therapy of primary rhegmatogenous retinaldetachment (RRD). Methods Thirty-two cases (32 eyes) were retrospectively reviewed in this study. The RRD diagnosis was confirmed by best corrected visual acuity,slit-lamp microscope,indirected ophthalmoscope and Goldman three-mirror contact lens. All patients had undergone cryopexy with intravitreal gas injection and assisted by correct body position. Patients were followed for 6 to 24 months. Post-operative BCVA,final anatomical outcome, complications and failed cases were analyzed. Results The reattachment rate of cryopexy with intravitreal gas injection was 81%(26/32 eyes). Four eyes required additional scleral buckling. Two eyes needed additional vitrectomy with intravitreal injection of expending gas (SF6).Final retinal reattachment was achieved in all 32 subjects (100%). Postoperative BCVA was significantly improved (P < 0.01). Conclusion Cryopexy with intravitreal gas injection is a simple,less trauma, lower cost and effective surgery for primary rhegmatogenous retinaldetachment.
