PDF(Pubmed)
Abstract：
Purpose: To examine the outcomes of chandelier endoillumination-assisted scleral buckling (chandelier scleral buckling) for rhegmatogenous retinal detachments (RRDs) and compare them with those of standard scleral buckling using indirect ophthalmoscopy. Methods: A literature search was performed on April 15, 2023. Outcomes analyzed included the primary anatomic success rates, surgical duration, and complication rates. A meta-analysis of proportions estimated the pooled success rate of chandelier scleral buckling. In addition, meta-analyses compared the success rates between pseudophakic eyes and phakic eyes having chandelier scleral buckling and compared success rates and surgical duration between standard scleral buckling and chandelier scleral buckling. Results: Thirty studies with 1133 eyes were included. The pooled primary anatomic success rate of chandelier scleral buckling was 91.7% (95% CI, 89.6%-93.6%). In studies comparing success rates between the 2 techniques, there was no significant difference (risk ratio, 1.01; 95% CI, 0.94-1.08; P = .80). The surgical times were significantly shorter with chandelier scleral buckling than with standard scleral buckling (mean difference, -18.83; 95% CI, -30.88 to -6.79; P = .002). There was no significant difference in the success rate between pseudophakic eyes and phakic eyes (risk ratio, 0.99; 95% CI, 0.91-1.08; P = .89). No cases of endophthalmitis were reported. Conclusions: Chandelier endoillumination-assisted scleral buckling may be a promising technique given its high rate of primary anatomic success for RRDs and success rates similar to those of standard scleral buckling. There was no significant difference in the efficacy of chandelier scleral buckling between pseudophakic eyes and phakic eyes.
摘要：
目的：检查枝形吊灯内窥镜辅助巩膜扣带术（枝形吊灯巩膜扣带术）治疗孔源性视网膜脱离（RRD）的结果，并使用间接检眼镜将其与标准巩膜扣带术进行比较。方法：2023年4月15日进行文献检索。分析的结果包括主要的解剖成功率，手术时间,和并发症发生率。比例的荟萃分析估计了枝形吊灯巩膜扣带的合并成功率。此外,meta分析比较了假晶状体眼和有枝形吊灯巩膜扣带眼之间的成功率，并比较了标准巩膜扣带和枝形吊灯巩膜扣带之间的成功率和手术时间。结果：共纳入30项研究，共1133只眼。枝形吊灯巩膜扣带的合并主要解剖成功率为91.7％（95％CI，89.6％-93.6％）。在比较两种技术之间成功率的研究中，没有显著差异(风险比，1.01；95%CI，0.94-1.08；P=.80）。枝形吊灯巩膜扣带术的手术时间明显短于标准巩膜扣带（平均差异，-18.83；95%CI，-30.88至-6.79；P=.002）。假晶状体眼和有晶状体眼之间的成功率没有显着差异（风险比，0.99；95%CI，0.91-1.08；P=.89）。没有报告眼内炎的病例。结论：枝形吊灯内照射辅助巩膜扣带术可能是一种有前途的技术，因为它对RRD的主要解剖成功率很高，并且成功率与标准巩膜扣带术相似。假晶状体眼和有晶状体眼之间的枝形吊灯巩膜扣带疗效没有显着差异。
