Abstract：
OBJECTIVE: This study was performed to evaluate the outcomes of 25-gauge (25-G) pars plana vitrectomy (PPV) with air tamponade for primary rhegmatogenous retinal detachment (RRD).
METHODS: This retrospective consecutive case series included 126 eyes of 125 patients with primary RRD who underwent 25-G PPV with air tamponade. The patients were followed up for at least 6 months following surgery. The main outcome measures were the primary and final anatomical success rates and postoperative complications.
RESULTS: The mean age of the 125 patients (80 men and 45 women) was 53.7 ± 10.0 years. The mean follow-up period was 8.3 ± 2.2 months (range, 6-18 months). Twenty-four eyes (19.0%) presented with high myopia, and 13 eyes (10.3%) were pseudophakic. Of the 126 eyes, 37 (29.4%) had inferior breaks, 2 (1.6%) had choroidal detachment, and 86 (68.3%) had macular detachment. The single- and final-operation success rates were 96.0% and 100%, respectively. Postoperative complications included macular hole formation in two eyes. During follow-up, secondary cataract surgery was performed in 27 (23.9%) of the 113 phakic eyes.
CONCLUSIONS: 25-G PPV with air tamponade is effective and safe in treating selected patients with primary RRD with a high anatomical success rate.
METHODS: This retrospective consecutive case series included 126 eyes of 125 patients with primary RRD who underwent 25-G PPV with air tamponade. The patients were followed up for at least 6 months following surgery. The main outcome measures were the primary and final anatomical success rates and postoperative complications.
RESULTS: The mean age of the 125 patients (80 men and 45 women) was 53.7 ± 10.0 years. The mean follow-up period was 8.3 ± 2.2 months (range, 6-18 months). Twenty-four eyes (19.0%) presented with high myopia, and 13 eyes (10.3%) were pseudophakic. Of the 126 eyes, 37 (29.4%) had inferior breaks, 2 (1.6%) had choroidal detachment, and 86 (68.3%) had macular detachment. The single- and final-operation success rates were 96.0% and 100%, respectively. Postoperative complications included macular hole formation in two eyes. During follow-up, secondary cataract surgery was performed in 27 (23.9%) of the 113 phakic eyes.
CONCLUSIONS: 25-G PPV with air tamponade is effective and safe in treating selected patients with primary RRD with a high anatomical success rate.
摘要：
目的：本研究旨在评估空气填塞的25号（25-G）平面玻璃体切除术（PPV）治疗原发性孔源性视网膜脱离（RRD）的结果。
方法：该回顾性连续病例系列包括125例原发性RRD患者的126只眼，这些患者接受了25-GPPV和空气填塞。术后随访至少6个月。主要结局指标是主要和最终解剖成功率以及术后并发症。
结果：125名患者（80名男性和45名女性）的平均年龄为53.7±10.0岁。平均随访时间为8.3±2.2个月(范围，6-18个月）。二十四眼(19.0%)表现为高度近视,13眼（10.3％）为假晶状体。126只眼睛中,37（29.4％）的休息较差，2例（1.6%）脉络膜脱离，86例(68.3%)黄斑脱离。单次和最终手术成功率分别为96.0％和100％，分别。术后并发症包括双眼黄斑裂孔形成。随访期间,113只有晶状体眼的27只(23.9%)进行了二次白内障手术。
结论：25-GPPV联合空气填塞治疗原发性RRD患者安全有效，解剖成功率高。
方法：该回顾性连续病例系列包括125例原发性RRD患者的126只眼，这些患者接受了25-GPPV和空气填塞。术后随访至少6个月。主要结局指标是主要和最终解剖成功率以及术后并发症。
结果：125名患者（80名男性和45名女性）的平均年龄为53.7±10.0岁。平均随访时间为8.3±2.2个月(范围，6-18个月）。二十四眼(19.0%)表现为高度近视,13眼（10.3％）为假晶状体。126只眼睛中,37（29.4％）的休息较差，2例（1.6%）脉络膜脱离，86例(68.3%)黄斑脱离。单次和最终手术成功率分别为96.0％和100％，分别。术后并发症包括双眼黄斑裂孔形成。随访期间,113只有晶状体眼的27只(23.9%)进行了二次白内障手术。
结论：25-GPPV联合空气填塞治疗原发性RRD患者安全有效，解剖成功率高。
