PDF(Pubmed)
Abstract：
OBJECTIVE: Our study aims to evaluate the surgical outcomes and clinical features of retinal detachment (RD) cases treated with segmental scleral buckling (SB), elucidating the role of segmental SB as a vital option in specific situations during the current era.
METHODS: We retrospectively reviewed 128 eyes with primary rhegmatogenous RD that underwent segmental scleral buckling between November 2008 and December 2020. Clinical features and success rates were recorded and analyzed.
RESULTS: A total of 128 eyes were included. The patient\'s ages ranged from 12 to 72 years, with a median age of 45. Most of the eyes were phakic (97%). Regarding the type of break, 47% were holes, and flap tears were found in 68 cases (53%). The break locations were superior-temporal (54%), inferior-temporal (31%), superior-nasal (9.5%), and inferior-nasal (5.5%). The length of the SB applied ranged from 3.5 to 8.0 clock hours, with a median of 6.0. Primary success was achieved in 121 eyes, and recurrence occurred in 7 eyes. All recurrent RD cases reattached after undergoing secondary VT. The causes of failure included 2 break reopens, 1 missed break, and 4 eyes with proliferative vitreoretinopathy. The single-surgery anatomic success (SSAS) rate for segmental SB was 94.5%. The final success rate was 100%.
CONCLUSIONS: For phakic, low complexity retinal detachment in our study, segmental scleral buckling emerges as a surgical option with a high primary success rate and a lower incidence of complications.
METHODS: We retrospectively reviewed 128 eyes with primary rhegmatogenous RD that underwent segmental scleral buckling between November 2008 and December 2020. Clinical features and success rates were recorded and analyzed.
RESULTS: A total of 128 eyes were included. The patient\'s ages ranged from 12 to 72 years, with a median age of 45. Most of the eyes were phakic (97%). Regarding the type of break, 47% were holes, and flap tears were found in 68 cases (53%). The break locations were superior-temporal (54%), inferior-temporal (31%), superior-nasal (9.5%), and inferior-nasal (5.5%). The length of the SB applied ranged from 3.5 to 8.0 clock hours, with a median of 6.0. Primary success was achieved in 121 eyes, and recurrence occurred in 7 eyes. All recurrent RD cases reattached after undergoing secondary VT. The causes of failure included 2 break reopens, 1 missed break, and 4 eyes with proliferative vitreoretinopathy. The single-surgery anatomic success (SSAS) rate for segmental SB was 94.5%. The final success rate was 100%.
CONCLUSIONS: For phakic, low complexity retinal detachment in our study, segmental scleral buckling emerges as a surgical option with a high primary success rate and a lower incidence of complications.
摘要：
目的：我们的研究旨在评估节段性巩膜扣带术（SB）治疗视网膜脱离（RD）的手术效果和临床特征，阐明分段SB作为当前时代特定情况下的重要选择的作用。
方法：我们回顾性回顾了2008年11月至2020年12月间接受节段性巩膜扣带术的128眼原发性孔源性RD。记录并分析临床特征和成功率。
结果：共纳入128只眼。病人的年龄从12岁到72岁不等,平均年龄为45岁。大多数眼睛是有晶状体的（97％）。关于休息的类型，47%是洞，皮瓣撕裂68例(53%)。中断位置是时间上的（54％），下时间（31%），上鼻部(9.5%)，和下鼻(5.5%)。适用的SB的长度范围为3.5至8.0小时，中位数为6.0。121只眼睛取得了初步成功，7只眼复发。所有复发性RD病例在接受继发性VT后重新连接。失败的原因包括2次中断重新打开，1错过休息，增生性玻璃体视网膜病变4只眼。节段SB的单次手术解剖成功率（SSAS）为94.5％。最终成功率为100%。
结论：对于phakic，在我们的研究中，复杂性低的视网膜脱离，节段性巩膜扣带术是一种手术选择，具有较高的主要成功率和较低的并发症发生率。
方法：我们回顾性回顾了2008年11月至2020年12月间接受节段性巩膜扣带术的128眼原发性孔源性RD。记录并分析临床特征和成功率。
结果：共纳入128只眼。病人的年龄从12岁到72岁不等,平均年龄为45岁。大多数眼睛是有晶状体的（97％）。关于休息的类型，47%是洞，皮瓣撕裂68例(53%)。中断位置是时间上的（54％），下时间（31%），上鼻部(9.5%)，和下鼻(5.5%)。适用的SB的长度范围为3.5至8.0小时，中位数为6.0。121只眼睛取得了初步成功，7只眼复发。所有复发性RD病例在接受继发性VT后重新连接。失败的原因包括2次中断重新打开，1错过休息，增生性玻璃体视网膜病变4只眼。节段SB的单次手术解剖成功率（SSAS）为94.5％。最终成功率为100%。
结论：对于phakic，在我们的研究中，复杂性低的视网膜脱离，节段性巩膜扣带术是一种手术选择，具有较高的主要成功率和较低的并发症发生率。
