Mesh : Humans Treatment Outcome Visual Acuity Retina Scleral Buckling Retinal Detachment / surgery Choroidal Effusions Vitrectomy Steroids Retrospective Studies

来  源:   DOI:10.1097/IAE.0000000000003770

Abstract:
To review the literature on eyes with concurrent rhegmatogenous retinal and choroidal detachment (RRD-CD).
Several databases were searched for \"rhegmatogenous retinal detachment\" and \"choroidal detachment\" through October 2022. All English language primary literature was reviewed.
Studies demonstrated that eyes with RRD-CD were very uncommon and had diminished baseline visual acuity (VA) and intraocular pressure (IOP) compared with eyes with RRD only. Although no randomized trials have been performed, pars plana vitrectomy with or without scleral buckle (SB) have reported higher surgical success rates than SB alone. Reattachment rates were affected by age, IOP, adjuvant steroids, and grade of proliferative vitreoretinopathy.
Low IOP and poor initial VA are salient features of eyes with RRD-CD. Steroids can be useful adjuvants administered safely using several routes including periocular and intravitreal injection. PPV ± SB may result in best surgical outcomes.
摘要:
目的:回顾有关眼并发孔源性视网膜和脉络膜脱离(RRD-CD)的文献。
方法:到2022年10月,在几个数据库中搜索“血源性视网膜脱离”和“脉络膜脱离”。审查了所有英语语言的主要文献。
结果:研究表明,患有RRD-CD的眼睛非常罕见,与仅RRD的眼睛相比,基线视力(VA)和眼内压(IOP)降低。尽管尚未进行随机试验,与单独的SB相比,有或没有巩膜扣(SB)的玻璃体切除术报告了更高的手术成功率。重新依恋率受年龄影响,IOP,佐剂类固醇,增殖性玻璃体视网膜病变的分级。
结论:低IOP和低初始VA是RRD-CD眼的显著特征。类固醇可以是通过几种途径(包括眼周和玻璃体内注射)安全施用的有用佐剂。PPV+/-SB可能导致最佳手术结果。
公众号