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Abstract：
UNASSIGNED: To report the anatomical and functional outcomes of retinotomy and/or retinectomy for the management of rhegmatogenous retinal detachment (RRD) complicated by advanced proliferative vitreoretinopathy (PVR).
UNASSIGNED: In this retrospective study, the charts of patients who underwent pars plana vitrectomy with retinotomy and/or retinectomy for the management of RRD complicated by PVR were reviewed. Primary outcome measures were final best-corrected visual acuity (BCVA) and anatomical reattachment rate.
UNASSIGNED: Sixty-one eyes of 61 patients with a mean age of 48.56 ± 15.92 were studied. The mean follow-up time was 21.38 ± 23.08 months. The mean angle of the retinotomy was 171.31° ± 79.15°. Thirty-two (52.5%) of them needed extensive (≥180°) retinotomy. In addition, simultaneous retinectomy was performed in 36.2% of the cases. The BCVA was 2.18 ± 0.63 and 1.85 ± 0.71 logMAR before the surgery and at the last visit, respectively (P = 0.001). The initial anatomical success was achieved in 45 eyes (73.8%) after retinotomy surgery. Sixteen eyes (26.2%) had recurrent RD and needed reoperation, which was performed 5.60 ± 4.01 months after the initial retinotomy surgery. At the last examination, the retina was attached in all patients.
UNASSIGNED: Retinotomy with/without retinectomy is an effective procedure in the majority of patients with RRD associated with advanced PVR; however, additional surgeries are needed in a significant number of eyes to achieve final anatomical success.
UNASSIGNED: In this retrospective study, the charts of patients who underwent pars plana vitrectomy with retinotomy and/or retinectomy for the management of RRD complicated by PVR were reviewed. Primary outcome measures were final best-corrected visual acuity (BCVA) and anatomical reattachment rate.
UNASSIGNED: Sixty-one eyes of 61 patients with a mean age of 48.56 ± 15.92 were studied. The mean follow-up time was 21.38 ± 23.08 months. The mean angle of the retinotomy was 171.31° ± 79.15°. Thirty-two (52.5%) of them needed extensive (≥180°) retinotomy. In addition, simultaneous retinectomy was performed in 36.2% of the cases. The BCVA was 2.18 ± 0.63 and 1.85 ± 0.71 logMAR before the surgery and at the last visit, respectively (P = 0.001). The initial anatomical success was achieved in 45 eyes (73.8%) after retinotomy surgery. Sixteen eyes (26.2%) had recurrent RD and needed reoperation, which was performed 5.60 ± 4.01 months after the initial retinotomy surgery. At the last examination, the retina was attached in all patients.
UNASSIGNED: Retinotomy with/without retinectomy is an effective procedure in the majority of patients with RRD associated with advanced PVR; however, additional surgeries are needed in a significant number of eyes to achieve final anatomical success.
摘要：
UNASSIGNED：报告视网膜切开术和/或视网膜切除术治疗并发晚期增生性玻璃体视网膜病变（PVR）的孔源性视网膜脱离（RRD）的解剖和功能结果。
未经评估：在这项回顾性研究中，我们回顾了行平坦部玻璃体切除术伴视网膜切开术和/或视网膜切除术治疗RRD并发PVR的患者的图表.主要结果指标是最终最佳矫正视力（BCVA）和解剖复位率。
UNASSIGNED：研究了61例患者的61只眼，平均年龄为48.56±15.92。平均随访时间为21.38±23.08个月。视网膜切开术的平均角度为171.31°±79.15°。其中32例（52.5%）需要广泛（≥180°）的视网膜切开术。此外,36.2%的病例同时行视网膜切除术.手术前和最后一次就诊时的BCVA分别为2.18±0.63和1.85±0.71logMAR，分别(P=0.001)。视网膜切开术后，45只眼（73.8％）获得了最初的解剖学成功。16眼（26.2%）复发性RD，需要再次手术，在初次视网膜切开术后5.60±4.01个月进行。在最后一次考试中，所有患者均有视网膜附着.
UNASSIGNED：视网膜切开术伴/不伴视网膜切除术是大多数患有晚期PVR的RRD患者的有效手术；然而，大量眼睛需要额外的手术才能获得最终的解剖学成功。
未经评估：在这项回顾性研究中，我们回顾了行平坦部玻璃体切除术伴视网膜切开术和/或视网膜切除术治疗RRD并发PVR的患者的图表.主要结果指标是最终最佳矫正视力（BCVA）和解剖复位率。
UNASSIGNED：研究了61例患者的61只眼，平均年龄为48.56±15.92。平均随访时间为21.38±23.08个月。视网膜切开术的平均角度为171.31°±79.15°。其中32例（52.5%）需要广泛（≥180°）的视网膜切开术。此外,36.2%的病例同时行视网膜切除术.手术前和最后一次就诊时的BCVA分别为2.18±0.63和1.85±0.71logMAR，分别(P=0.001)。视网膜切开术后，45只眼（73.8％）获得了最初的解剖学成功。16眼（26.2%）复发性RD，需要再次手术，在初次视网膜切开术后5.60±4.01个月进行。在最后一次考试中，所有患者均有视网膜附着.
UNASSIGNED：视网膜切开术伴/不伴视网膜切除术是大多数患有晚期PVR的RRD患者的有效手术；然而，大量眼睛需要额外的手术才能获得最终的解剖学成功。
