PDF(Pubmed)
Abstract：
OBJECTIVE: To investigate the clinical characteristics, treatment methods and outcomes of rhegmatogenous retinal detachment (RRD) in highly myopic eyes with implantable collamer lens (ICL).
METHODS: High myopia patients who received treatment for nontraumatic RRD after ICL implantation surgery at the Retinal Department of Zhongshan Ophthalmic Center from Jan 2018 to Dec 2022 were reviewed. Comprehensive ophthalmologic examinations including visual acuity measurement and digital fundus photography were performed in each patient.
RESULTS: A total of nine RRD eyes from nine patients who received V4c-ICL implantation were included. The mean time from ICL implantation surgery to the diagnosis of RRD was 32.44±22.56mo (range, 1-60mo). At the initial visit for RRD, giant retinal tear (GRT), horseshoe tear, simple round hole, and horseshoe tear combined with round hole were detected in 3, 3, 2, and 1 eye(s), respectively, with macula-off in eyes. Eight patients received surgical treatment, and one patient was treated by retinal laser photocoagulation alone. The ICL was preserved in 7 eyes. At the last follow-up, the mean best corrected visual acuity (BCVA) improved significantly from 1.76±1.06 logMAR at presentation to 0.81±1.01 logMAR (P=0.035), and no case of recurrent retinal detachment was found.
CONCLUSIONS: The morphological presentation of retinal breaks is diverse in this study. The ICL can be preserved in most cases during the course of retinal detachment repair surgery in our data, companied with acceptable visual and anatomical outcomes.
METHODS: High myopia patients who received treatment for nontraumatic RRD after ICL implantation surgery at the Retinal Department of Zhongshan Ophthalmic Center from Jan 2018 to Dec 2022 were reviewed. Comprehensive ophthalmologic examinations including visual acuity measurement and digital fundus photography were performed in each patient.
RESULTS: A total of nine RRD eyes from nine patients who received V4c-ICL implantation were included. The mean time from ICL implantation surgery to the diagnosis of RRD was 32.44±22.56mo (range, 1-60mo). At the initial visit for RRD, giant retinal tear (GRT), horseshoe tear, simple round hole, and horseshoe tear combined with round hole were detected in 3, 3, 2, and 1 eye(s), respectively, with macula-off in eyes. Eight patients received surgical treatment, and one patient was treated by retinal laser photocoagulation alone. The ICL was preserved in 7 eyes. At the last follow-up, the mean best corrected visual acuity (BCVA) improved significantly from 1.76±1.06 logMAR at presentation to 0.81±1.01 logMAR (P=0.035), and no case of recurrent retinal detachment was found.
CONCLUSIONS: The morphological presentation of retinal breaks is diverse in this study. The ICL can be preserved in most cases during the course of retinal detachment repair surgery in our data, companied with acceptable visual and anatomical outcomes.
摘要：
目的：探讨临床特点，高度近视眼用植入式结晶体（ICL）治疗孔源性视网膜脱离（RRD）的方法和结果。
方法：回顾性分析2018年1月至2022年12月中山市眼科中心视网膜部ICL植入术后接受非创伤性RRD治疗的高度近视患者。对每位患者进行全面的眼科检查，包括视力测量和数字眼底照相。
结果：共9只接受V4c-ICL植入的患者的RRD眼。从ICL植入手术到RRD诊断的平均时间为32.44±22.56mo（范围，1-60mo）。在RRD的初次访问时，巨大的视网膜撕裂（GRT），马蹄形撕裂，简单的圆孔，在3、3、2和1只眼睛中检测到马蹄形撕裂和圆孔，分别,眼睛黄斑脱落。八名患者接受了手术治疗，1例患者仅接受视网膜激光光凝治疗。ICL保存在7只眼中。在最后一次随访中，平均最佳矫正视力（BCVA）从表现时的1.76±1.06logMAR显着提高到0.81±1.01logMAR（P=0.035），没有发现复发性视网膜脱离的病例。
结论：本研究中视网膜破裂的形态学表现是多样的。在我们的数据中，在视网膜脱离修复手术过程中，ICL在大多数情况下都可以保留，伴随着可接受的视觉和解剖学结果。
方法：回顾性分析2018年1月至2022年12月中山市眼科中心视网膜部ICL植入术后接受非创伤性RRD治疗的高度近视患者。对每位患者进行全面的眼科检查，包括视力测量和数字眼底照相。
结果：共9只接受V4c-ICL植入的患者的RRD眼。从ICL植入手术到RRD诊断的平均时间为32.44±22.56mo（范围，1-60mo）。在RRD的初次访问时，巨大的视网膜撕裂（GRT），马蹄形撕裂，简单的圆孔，在3、3、2和1只眼睛中检测到马蹄形撕裂和圆孔，分别,眼睛黄斑脱落。八名患者接受了手术治疗，1例患者仅接受视网膜激光光凝治疗。ICL保存在7只眼中。在最后一次随访中，平均最佳矫正视力（BCVA）从表现时的1.76±1.06logMAR显着提高到0.81±1.01logMAR（P=0.035），没有发现复发性视网膜脱离的病例。
结论：本研究中视网膜破裂的形态学表现是多样的。在我们的数据中，在视网膜脱离修复手术过程中，ICL在大多数情况下都可以保留，伴随着可接受的视觉和解剖学结果。
