Mesh : Humans Aphakia / complications Eye Injuries / complications Myopia, Degenerative / complications Postoperative Complications / etiology Recurrence Retinal Detachment / surgery Risk Factors Silicone Oils / administration & dosage Vitrectomy / methods

来  源:   DOI:10.3928/23258160-20180601-06   PDF(Sci-hub)

Abstract:
This systematic review and meta-analysis was made to measure risk factors for retinal redetachment (re-RD) after silicone oil removal (SOR) in a quantitative method.
A comprehensive literature review relating to risk factors for re-RD after SOR was conducted before March 2017. Odds ratio (OR) with 95% confidence interval (CI) was calculated after data combination.
Sixteen studies were included, and risk factors with significant differences found between the re-RD and control groups are as follows: aphakic eye (OR = 1.50), high myopia (OR = 2.47), previous failed retinal surgery (OR = 1.71), and ocular trauma (OR = 3.52). Peripheral 360° laser retinopexy (OR = 0.40) and scleral encircling band (OR = 0.58) were found to be protective factors of re-RD after SOR.
Aphakic eye, high myopia, previous failed retinal surgery, ocular trauma, lack of 360° laser, and scleral encircling band were possible risk factors relating to the occurrence of re-RD after SOR. [Ophthalmic Surg Lasers Imaging Retina. 2018;49:416-424.].
摘要:
进行了系统评价和荟萃分析,以定量方法测量硅油去除(SOR)后视网膜再脱离(re-RD)的危险因素。
在2017年3月之前,对SOR后再RD的危险因素进行了全面的文献综述。数据组合后计算比值比(OR)和95%置信区间(CI)。
纳入了16项研究,reRD组和对照组之间存在显着差异的危险因素如下:无晶状体眼(OR=1.50),高度近视(OR=2.47),先前失败的视网膜手术(OR=1.71),眼外伤(OR=3.52)。发现周围360°激光视网膜固定术(OR=0.40)和巩膜环绕带(OR=0.58)是SOR后再RD的保护因素。
无晶状体眼,高度近视,之前失败的视网膜手术,眼外伤,缺少360°激光,巩膜环扎带是SOR后发生reRD的可能危险因素。[眼科手术激光成像视网膜。2018;49:416-424。].
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