23-Gauge pars plana vitrectomy and scleral buckle for the treatment of proliferative rhegmatogenous retinal detachment with inferior breaks
10.13389/j.cnki.rao.2018.0058
- VernacularTitle:23G玻璃体切割术联合巩膜外垫压治疗下方裂孔伴增殖型孔源性视网膜脱离的疗效和安全性
- Author:
Huai-Sheng ZHOU
1
;
Hai-Zhi MA
;
Wan-Ling LIANG
;
Shan ZENG
;
Hui-Jun HUANG
;
Shi-Gang YAN
Author Information
1. 528000,广东省佛山市第二人民医院眼科
- Keywords:
retinal detachment;
pars plana vitrectomy;
inferior break;
scleral buckle
- From:
Recent Advances in Ophthalmology
2018;38(3):251-254
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the safety and efficacy of 23-Gauge pars plana vitrectomy (PPV) and PPV combined with scleral buckling-PPV (SB-PPV) in proliferative rhegmatogenous retinal detachments with inferior breaks.Methods Retrospectively nonrandomized clinical case study was conducted in 70 patients with proliferative rhegmatogenous retinal detachment associated with inferior breaks between January 2013 and December 2016,including 39 eyes receiving SB-PPV procedures as the SB-PPV group and 31 eyes undergoing PPV procedures as the PPV group.And anatomical success rate for one procedure,lens trauma rate,retinotomy rate,postoperative best corrected visual acuity (BCVA) outcome and intraocular pressure (IOP) were recorded and analyzed.Results The anatomical success rate for one procedure was 92.3％ (36/ 39) in the SB-PPV group and 74.2％ (23/31) in the PPV group,and the difference was statistically significant (P ＜ 0.035).The lens trauma rate was 2.6％ (1/39) in the SB-PPV group and 19.4％ (6/31) in PPV group,with the difference being statistically significant (P ＜0.05).The retinotomy rate was 5.1％ (2/39) in the SB-PPV group and 32.3％ (10/31) in the PPV group,and the difference approached statistically significance (P ＜0.05).There was no significant difference in the postoperative BCVA and IOP between the two groups (both P ＞ 0.05).Conclusion SB-PPV can increase the anatomical success rate for one procedure in patients with rhegmatogenous retinal detachment associated with inferior breaks,and reduce retinotomy rate and lens trauma rate.
