Comparative study on the treatment of rhegmatogenous retinal detachment between foldable capsular body and scleral buckling
10.3980/j.issn.1672-5123.2023.5.19
- VernacularTitle:折叠顶压球囊与传统巩膜外加压治疗孔源性视网膜脱离的对比研究
- Author:
Ning ZHANG
1
;
Bai-Ke ZHANG
1
;
Yong JIA
1
;
Li-Sha GUO
1
;
Chun-Lei WANG
1
;
Xiang-Yang ZHANG
1
;
Ji-Wei FENG
1
;
Xue-Min TIAN
1
Author Information
1. Xinxiang Medical College, Xinxiang 453000, Henan Province, China; Department of Ophthalmology, the 988th Hospital of Joint Logistic Support Force of the People's Liberation Army, Zhengzhou 450000, Henan Province, China
- Publication Type:Journal Article
- Keywords:
rhegmatogenous retinal detachment;
foldable capsular body;
scleral buckling
- From:
International Eye Science
2023;23(5):813-817
- CountryChina
- Language:Chinese
-
Abstract:
AIM: To compare the effectiveness and complications of treating rhegmatogenous retinal detachment(RRD)with foldable capsule body(FCB)and scleral buckling(SB).METHODS: The clinical data of 81 patients(82 eyes)with RRD who underwent surgery at our hospital from March 2019 to April 2022 were retrospectively analyzed. The differences in retinal reattachment rate, best-corrected visual acuity, the absorption of subretinal fluid, postoperative discomfort and incidence of complications between the two treatments were compared.RESULTS: The retinal reattachment rate was 96% in the FCB group and 92% in the SB group, with no significant difference between the two groups(P>0.05). The best corrected visual acuity of the affected macular eyes was different in the both groups(P<0.01). Both groups effectively promoted the absorption of subretinal fluid. The operation time of FCB group was 16.50(12.75, 25.00)min, while it was 38.00(36.25, 41.75)min in the SB group(P<0.001). Patients in the FCB group also had significantly lower eyelid swelling and pain symptoms than those in the SB group(P<0.001). The visual analogue scale(VAS)score at 1d after operation was 1.00(0.00, 2.00)in the FCB group and 3.00(2.00, 3.00)in the SB group(P<0.001).CONCLUSION: FCB is a safe and effective surgical method to treat RRD that can alleviate patient's pain. Furthermore, FCB has a significantly shorter operation time and milder postoperative adverse reactions than SB.
