Progress in surgical selection and prognosis evaluation of rhegmatogenous retinal detachment
10.3760/cma.j.cn511434-20210207-00072
- VernacularTitle:孔源性视网膜脱离手术方式选择与预后评价的研究进展
- Author:
Jingting LUO
1
;
Wenbin WEI
Author Information
1. 首都医科大学附属北京同仁医院 北京同仁眼科中心 眼内肿瘤诊治研究北京市重点实验 北京市眼科学与视觉科学重点实验室 医学人工智能研究与验证工信部重点实验室，北京 100730
- Keywords:
Retinal detachment;
Scleral buckling;
Vitrectomy;
Review
- From:
Chinese Journal of Ocular Fundus Diseases
2022;38(4):325-329
- CountryChina
- Language:Chinese
-
Abstract:
Rhegmatogenous retinal detachment (RRD), the most common type of retinal detachment, is the separation of neurosensory retina from the underlying retinal pigment epithelium. The key to surgical treatment of RRD is to find and seal all retinal breaks while the major surgical procedures include scleral buckle (SB), pars plana vitrectomy (PPV), and a combination of the two (PPV/SB). Different surgical methods have their own advantages and limitations. SB plays a very important role in certain types of RRD, providing a high rate of anatomical reduction and a good prognosis of visual function. Combined PPV is also an important auxiliary means for the treatment of complicated RRD. The rapid development of vitreoretinal surgery has greatly contributed to the trend of RRD surgery from extraocular to intraocular. However, it is worth noting that personalized RRD surgical methods are needed to be provided for different patients in order to minimize the occurrence of complications.
