PDF(Pubmed)
Abstract：
To compare the efficacy of scleral buckling with adjuvant pneumatic retinopexy (SB with PR) and scleral buckling (SB) alone for primary rhegmatogenous retinal detachment (RRD). This retrospective and comparative study included patients who underwent SB with PR (n = 88) or SB alone (n = 161) for primary RRD. The primary anatomical success rate for SB with PR was 81.8%, whereas that for SB alone was 80.7% (P = 0.836). Among patients who achieved primary anatomical success, those in the SB with PR group showed postoperative epiretinal membrane (ERM) formation more frequently than those in the SB alone group (11 of 72 [15.3%] vs. 6 of 130 [4.6%]) (P = 0.009). The mean time to subretinal fluid absorption was not significantly different between the SB with PR and SB alone groups (11.2 ± 6.2 vs. 11.4 ± 5.8 months, P = 0.881). In the SB with PR group, retinal detachment involving ≥ three quadrants was a significant risk factor for surgical failure (hazard ratio, 3.04; P = 0.041). Adjuvant pneumatic retinopexy does not provide additional benefit in improving the surgical outcomes of SB for primary RRD repair.
摘要：
目的比较巩膜扣带术与辅助充气视网膜固定术（SBwithPR）和单纯巩膜扣带术（SB）治疗原发性孔源性视网膜脱离（RRD）的疗效。这项回顾性和比较研究包括因原发性RRD而接受SB伴PR（n=88）或单纯SB（n=161）的患者。SB伴PR的主要解剖成功率为81.8%，而单独使用SB的比例为80.7%(P=0.836)。在取得主要解剖学成功的患者中，SB与PR组的患者比SB单独组的患者更频繁地显示出术后视网膜前膜（ERM）的形成（72个中的11个[15.3％]vs.130人中的6人[4.6%])(P=0.009)。SB与PR和SB单独组之间视网膜下液吸收的平均时间没有显着差异（11.2±6.2vs.11.4±5.8个月，P=0.881)。在带有PR组的SB中，涉及≥三个象限的视网膜脱离是手术失败的重要风险因素(风险比，3.04；P=0.041）。辅助充气视网膜固定术在改善SB用于原发性RRD修复的手术结果方面没有提供额外的益处。
