双边眼部贴片可以改善急性初级风湿性视网膜脱落的临床结果
Peter H Tang1,2,3, Christian D Curran2, Ali R Salman1
1Retina Consultants of Minnesota, Edina, Minnesota.
Retina (Philadelphia, Pa.)
|November 16, 2023
概括
术前双边眼部补丁 (BEP) 可以减少脑下腺液并改善急性原发性风湿性视网膜脱落 (RRDs) 的视力. 对患者来说,高度遵守BEP (>50%的时间) 为患者带来了最显著的好处.
科学领域:
- 眼科医生 眼科 眼科
- 视网膜外科手术 视网膜外科手术
- 视觉敏度研究 视觉敏度研究
背景情况:
- 急性初级风湿性视网膜脱落 (RRDs) 需要及时进行手术干预.
- 视网下液 (SRF) 和状况是手术成功和视觉预后的关键指标.
- 术前干预措施的作用,如双边眼部补丁 (BEP) 在管理RRD仍然是一个研究领域.
研究的目的:
- 评估手术前双边眼部补丁 (BEP) 对急性原发性风湿性视网膜脱落 (RRDs) 患者的上腺液 (SRF) 和视觉结果的影响.
主要方法:
- 一项回顾性非随机干预研究,涉及335名RRD患者.
- 患者被分为一个BEP队列 (n=240) 与不同的合规水平 (高≥90%,中等>50%至<90%,低<50%) 和一个控制组 (n=95),谁下降了BEP.
- 在手术前和随访期间 (≥3个月) 评估了SRF,状况和最佳校正视敏度 (BCVA).
主要成果:
- 高和中度合规的BEP组与低合规和控制组相比 (P <0.01) 显示了显著更大的SRF减少.
- 黄斑脱落的RRD患者具有高/中等BEP合规性,其骨复合率显著更高 (P < 0.01).
- 与低合规性和对照组相比,具有高BEP合规性的Mac-off RRD患者在最终的BCVA中取得了显著的改善 (P = 0.04和P = 0.02分别).
结论:
- 术前双边眼部补丁 (BEP) 可以有效地稳定或减少急性初级RRD中的下液.
- 在50%以上的时间内坚持BEP的患者经历了最实质性的临床益处.
- 在急性RRD的管理中,BEP代表了一个潜在的有价值的辅助措施,特别是在黄斑脱落的情况下改善视觉结果.
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