■分析初级玻璃体视网膜外科医生进行的原发性孔源性视网膜脱离(RRD)修复的单次手术解剖学成功(SOAS),并由经验丰富的指导者玻璃体视网膜外科医生进行术前个例选择。
■回顾性,单一研究所,观察性研究,纳入2021年11月至2022年12月接受标准平坦部玻璃体切除术(PPV)或联合环绕束带(CB)和PPV以及气体填塞治疗RRD的所有患者.术前选择的手术决定,是否通过高级外科医生进行标准PPV或组合CB和PPV;根据RRD的位置和扩展,视网膜撕裂(RT)和晶状体状态的数量。我们排除了牵引性视网膜脱离的患者,RD伴增生性玻璃体视网膜病变C期,巨大的眼泪,创伤,以前的巩膜带扣,schisisRD和RD需要硅油。主要结果指标是评估单次手术解剖成功(SOAS)。次要结果指标评估了两种程序之间是否存在统计学上的显着差异。
■82只眼被纳入研究。选择45只眼用于CB和PPV的组合,37只眼用于标准PPV。联合组40眼(88.8%)和标准PPV组35眼(94.5%)均达到SOAS。两种手术的成功率无统计学差异,p=0.65。
■根据RD的复杂程度对标准化手术技术进行结构化的术前选择,加上严密的监督,使接受培训的初级玻璃体视网膜外科医生在两种类型的手术中的再附着率都超过80%。
UNASSIGNED: To analyse single-operation anatomical success (SOAS) of primary rhegmatogenous retinal detachment (RRD) repair by junior vitreoretinal surgeons guided by preoperative individual
case selection by an experienced mentor vitreoretinal surgeon.
UNASSIGNED: Retrospective, single institute, observational study, included all patients who underwent standard pars plana vitrectomy (
PPV) or combined encircling band (CB) and PPV and gas tamponade in the treatment of RRD from November 2021 to December 2022 were included. Preoperative selection for the surgery decision, whether standard
PPV or combined CB &
PPV was undertaken through the senior surgeon; according to the location and extensions of the RRD, number of retinal tears (RT) and lens status. We excluded patients with tractional retinal detachment, RD with proliferative vitreoretinopathy stage C, giant tears, trauma, previous scleral buckle, schisis RD and RD requiring silicone oil. The primary outcome measure was to evaluate the single-operation anatomic success (SOAS). Secondary outcome measures evaluated whether there was a statistical significant difference between both procedures.
UNASSIGNED: Eighty-two eyes were included in the study. Forty-five eyes were selected for combined CB&
PPV and 37 eyes for standard
PPV. SOAS was achieved in 40 eyes (88.8%) in combined group and 35 eyes (94.5%) in standard
PPV group. There was no statistically significant difference in the success rate between both operations, p = 0.65.
UNASSIGNED: Structured preoperative selection of standardized surgical techniques according to the degree of complexity of RD together with close supervision enables junior vitreoretinal surgeons in training to achieve re-attachment rates of more than 80% with both types of surgeries.