PDF(Pubmed)
Abstract：
OBJECTIVE: To evaluate the effectiveness and safety of scleral buckling for the treatment of rhegmatogenous retinal detachment (RRD) using a novel foldable capsular buckle (FCB).
METHODS: This was a series of case observation studies. Eighteen patients (18 eyes) who visited our ophthalmology department between August 2020 and August 2022 and were treated for RRD with scleral buckling using FCB were included. The procedure was similar to conventional scleral buckling, while a balloon-like FCB was placed onto the retinal break with balanced salt solution filling for a broad, external indentation instead of the silicone buckle. The retinal reattachment rate, best corrected visual acuity (BCVA), intraocular pressure (IOP), refractive dioptre and astigmatism degree, and complications were evaluated and recorded.
RESULTS: There were 7 males and 11 females aged 19-58y. The average time course of RRD was 12d, ranging from 7-20d. The retinal break was located in the superior quadrants in 8 eyes and in the inferior quadrants in 10 eyes, with macula-off detachments in 12 eyes. The patients were followed-up for at least 6mo. The final retinal reattachment rate was 100%. The BCVA was significantly improved compared with the baseline (P<0.05). There was no significant change in refractive dioptre or astigmatism degree at each follow-up (all P>0.05). Three patients had transiently high IOPs within one week after surgery. Mild diplopia occurred in 5 patients after surgery and then disappeared after the balloon fluid was removed.
CONCLUSIONS: The success rate of FCB scleral buckling for RRD is satisfactory. This procedure can be expected to be applied in new, uncomplicated cases of RRD.
METHODS: This was a series of case observation studies. Eighteen patients (18 eyes) who visited our ophthalmology department between August 2020 and August 2022 and were treated for RRD with scleral buckling using FCB were included. The procedure was similar to conventional scleral buckling, while a balloon-like FCB was placed onto the retinal break with balanced salt solution filling for a broad, external indentation instead of the silicone buckle. The retinal reattachment rate, best corrected visual acuity (BCVA), intraocular pressure (IOP), refractive dioptre and astigmatism degree, and complications were evaluated and recorded.
RESULTS: There were 7 males and 11 females aged 19-58y. The average time course of RRD was 12d, ranging from 7-20d. The retinal break was located in the superior quadrants in 8 eyes and in the inferior quadrants in 10 eyes, with macula-off detachments in 12 eyes. The patients were followed-up for at least 6mo. The final retinal reattachment rate was 100%. The BCVA was significantly improved compared with the baseline (P<0.05). There was no significant change in refractive dioptre or astigmatism degree at each follow-up (all P>0.05). Three patients had transiently high IOPs within one week after surgery. Mild diplopia occurred in 5 patients after surgery and then disappeared after the balloon fluid was removed.
CONCLUSIONS: The success rate of FCB scleral buckling for RRD is satisfactory. This procedure can be expected to be applied in new, uncomplicated cases of RRD.
摘要：
目的：评价一种新型可折叠囊扣(FCB)巩膜扣带术治疗孔源性视网膜脱离(RRD)的有效性和安全性。
方法：这是一系列案例观察研究。包括在2020年8月至2022年8月期间访问我们眼科的18例患者（18眼），并使用FCB进行巩膜扣带术治疗RRD。手术类似于常规巩膜扣带,虽然气球状的FCB被放置在视网膜裂孔上，用平衡的盐溶液填充广泛，外部压痕代替硅胶扣。视网膜再附着率,最佳矫正视力（BCVA），眼内压（IOP），屈光度和散光程度，并对并发症进行评估和记录。
结果：男性7例，女性11例，年龄19-58岁。RRD的平均时间为12d，范围从7-20d。视网膜裂孔位于8只眼的上象限，10只眼的下象限，12只眼有黄斑脱落。患者随访至少6mo。最终视网膜复位率为100%。与基线相比,BCVA显著提高(P<0.05)。每次随访时屈光度或散光度均无明显变化(均P>0.05)。3例患者在手术后一周内出现短暂的高IOP。5例患者术后出现轻度复视,在球囊液取出后消失。
结论：FCB巩膜扣带术治疗RRD的成功率令人满意。这个程序可以预期在新的应用，简单的RRD案例。
方法：这是一系列案例观察研究。包括在2020年8月至2022年8月期间访问我们眼科的18例患者（18眼），并使用FCB进行巩膜扣带术治疗RRD。手术类似于常规巩膜扣带,虽然气球状的FCB被放置在视网膜裂孔上，用平衡的盐溶液填充广泛，外部压痕代替硅胶扣。视网膜再附着率,最佳矫正视力（BCVA），眼内压（IOP），屈光度和散光程度，并对并发症进行评估和记录。
结果：男性7例，女性11例，年龄19-58岁。RRD的平均时间为12d，范围从7-20d。视网膜裂孔位于8只眼的上象限，10只眼的下象限，12只眼有黄斑脱落。患者随访至少6mo。最终视网膜复位率为100%。与基线相比,BCVA显著提高(P<0.05)。每次随访时屈光度或散光度均无明显变化(均P>0.05)。3例患者在手术后一周内出现短暂的高IOP。5例患者术后出现轻度复视,在球囊液取出后消失。
结论：FCB巩膜扣带术治疗RRD的成功率令人满意。这个程序可以预期在新的应用，简单的RRD案例。
