Abstract：
To report the anatomic and functional outcomes of retinectomy without lensectomy in eyes with rhegmatogenous retinal detachment (RRD) and proliferative vitreoretinopathy (PVR).
Retrospective, noncomparative, and interventional case series.
One hundred twelve eyes of 112 patients with RRD complicated by PVR who underwent retinectomy without lensectomy.
Retrospective review of patients treated with vitrectomy and retinectomy without lensectomy from January 1, 2015, to January 1, 2020.
The primary outcome was the final attachment rate and single surgery anatomic success (SSAS) at 3 and 6 months after retinectomy. Secondary outcomes included predictors of final visual acuity (VA), the mean number of subsequent operations required for complete retinal reattachment, cataract surgery, and the number of eyes that ultimately had successful silicone oil removal.
Complete final retinal reattachment was achieved in 111 of 112 (99.1%) patients, with a mean (standard deviation [SD]) follow-up of 29 (14) months (range, 8-62 months) after retinectomy. The SSAS was achieved in 84 of 112 (75%) patients at 3 months and 73 of 112 (65.2%) patients at 6 months. The final VA improved or stabilized in 76 of 112 (67.9%) eyes. Silicone oil removal was performed in 72 of 112 patients (64.3%) at a mean (SD) of 6.6 (3.3) months, and cataract surgery was performed on 101 (90.2%) eyes before the last follow-up visit.
Retinectomy without lensectomy to repair RRDs complicated by PVR showed acceptable anatomic and functional results. This study suggests that removing the lens when there is no significant cataract may not be necessary in these cases to obtain reasonable outcomes.
Retrospective, noncomparative, and interventional case series.
One hundred twelve eyes of 112 patients with RRD complicated by PVR who underwent retinectomy without lensectomy.
Retrospective review of patients treated with vitrectomy and retinectomy without lensectomy from January 1, 2015, to January 1, 2020.
The primary outcome was the final attachment rate and single surgery anatomic success (SSAS) at 3 and 6 months after retinectomy. Secondary outcomes included predictors of final visual acuity (VA), the mean number of subsequent operations required for complete retinal reattachment, cataract surgery, and the number of eyes that ultimately had successful silicone oil removal.
Complete final retinal reattachment was achieved in 111 of 112 (99.1%) patients, with a mean (standard deviation [SD]) follow-up of 29 (14) months (range, 8-62 months) after retinectomy. The SSAS was achieved in 84 of 112 (75%) patients at 3 months and 73 of 112 (65.2%) patients at 6 months. The final VA improved or stabilized in 76 of 112 (67.9%) eyes. Silicone oil removal was performed in 72 of 112 patients (64.3%) at a mean (SD) of 6.6 (3.3) months, and cataract surgery was performed on 101 (90.2%) eyes before the last follow-up visit.
Retinectomy without lensectomy to repair RRDs complicated by PVR showed acceptable anatomic and functional results. This study suggests that removing the lens when there is no significant cataract may not be necessary in these cases to obtain reasonable outcomes.
摘要：
目的：报告不行视网膜切除术治疗孔源性视网膜脱离（RRD）和增生性玻璃体视网膜病变（PVR）的解剖和功能结果。
方法：回顾性，非比较性，和介入病例系列。
方法：112例RRD并发PVR患者行视网膜切除术而不进行晶状体切除术。
方法：回顾性回顾2015年1月1日至2020年1月1日接受玻璃体切除术和无晶状体切除术的视网膜切除术的患者。
方法：主要结果是视网膜切除术后3个月和6个月的最终附着率和单次手术解剖成功率（SSAS）。次要结果包括最终视力（VA）的预测因子，完成视网膜复位所需的平均后续手术次数，白内障手术,以及最终成功去除硅油的眼睛数量。
结果：112例患者中有111例（99.1%）实现了最终的视网膜复位，平均(标准差[SD])随访29(14)个月(范围，8-62个月）视网膜切除术后。在3个月时，112名患者中有84名（75％）获得了SSAS，在6个月时，112名患者中有73名（65.2％）获得了SSAS。在112只眼中的76只(67.9%)中,最终的VA改善或稳定。112例患者中有72例（64.3％）进行了硅油去除，平均（SD）为6.6（3.3）个月，在最后一次随访之前，对101只(90.2%)眼进行了白内障手术。
结论：无晶状体切除术的视网膜切除术修复并发PVR的RRD显示出可接受的解剖和功能结果。这项研究表明，在这些情况下，没有必要在没有明显白内障的情况下摘除晶状体以获得合理的结果。
方法：回顾性，非比较性，和介入病例系列。
方法：112例RRD并发PVR患者行视网膜切除术而不进行晶状体切除术。
方法：回顾性回顾2015年1月1日至2020年1月1日接受玻璃体切除术和无晶状体切除术的视网膜切除术的患者。
方法：主要结果是视网膜切除术后3个月和6个月的最终附着率和单次手术解剖成功率（SSAS）。次要结果包括最终视力（VA）的预测因子，完成视网膜复位所需的平均后续手术次数，白内障手术,以及最终成功去除硅油的眼睛数量。
结果：112例患者中有111例（99.1%）实现了最终的视网膜复位，平均(标准差[SD])随访29(14)个月(范围，8-62个月）视网膜切除术后。在3个月时，112名患者中有84名（75％）获得了SSAS，在6个月时，112名患者中有73名（65.2％）获得了SSAS。在112只眼中的76只(67.9%)中,最终的VA改善或稳定。112例患者中有72例（64.3％）进行了硅油去除，平均（SD）为6.6（3.3）个月，在最后一次随访之前，对101只(90.2%)眼进行了白内障手术。
结论：无晶状体切除术的视网膜切除术修复并发PVR的RRD显示出可接受的解剖和功能结果。这项研究表明，在这些情况下，没有必要在没有明显白内障的情况下摘除晶状体以获得合理的结果。
