Clinical analysis on surgery of super high myopia combined with rhegmatogenous retinal detachment
10.3980/j.issn.1672-5123.2016.11.46
- VernacularTitle:超高度近视合并孔源性视网膜脱离手术治疗的临床分析
- Author:
Xiao-Juan, ZHANG
;
Nan-Jue, CAO
;
Wei, QIANG
;
Xiao-Long, CHEN
- Publication Type:Journal Article
- Keywords:
super high myopia;
rhegmatogenous retinal detachment;
scleral buckling surgery;
pars plana vitrectomy
- From:
International Eye Science
2016;16(11):2150-2153
- CountryChina
- Language:Chinese
-
Abstract:
AIM: To retrospectively analyze selection of operation, surgery effect, complications and treatment methods of super high myopia combined with rhegmatogenous retinal detachment( RRD) .
METHODS:A total of 47 cases(47 eyes) with the super high myopia patients combined with RRD who accepted scleral buckling of external pressure, vitrectomy combined silicone oil filling, or intravitreous gas injection were chosen in our hospital from Jan. 1, 2011 to Jan. 1, 2016. Best corrected visual acuity ( BCVA), intraocular pressure, retinal reattached rate, closure rate of holes and the postoperative complications of patients in half year were analyzed.
RESULTS:Half a year postoperation, BCVA of twenty-four cases underwent vitrectomy combined silicone oil filling were improving(71%), and eight cases with scleral buckling surgery were enhanced ( 73%) . Statistical test showed the surgical treatment could significantly improve patients'eyesight, especially PPV with silicone oil, but the BCVA of patients with scleral buckling of external pressure in this study had no obvious significance according to the rank sum test. Compare with other surgery, pars plana vitrectomy( PPV ) combined silicone oil filling had more complications, such as high intraocular pressure and diplopia.
CONCLUSION: The therapy of super high myopia patients with rhegmatogenous retinal detachment need many years' clinical experience, surgical skill of clinician and according to the number, the shape and the site of the retinal holes and area of detached retina, they need to choose the right means of surgery, and timely deal with postoperative complications, in order to improve the patients' postoperative retina, reset rate and visual function.
