在帕斯帕斯的直接或间接流体交换后的视网膜移位 Plana 视网膜切除术用于类风湿性视网膜脱落
Fatemeh Abdi1, Amin Zand2, Mohammad Mirzakhan1
1Eye Research Center, Eye Department, The Five Senses Health Institute, Rassoul Akram Hospital, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.
European journal of ophthalmology
|September 19, 2024
概括
与间接方法相比,在性视网膜脱落 (RRD) 的帕斯普拉纳视网膜切除术 (PPV) 期间,直接交换 perfluorocarbon液 (PFCL) - 油 (SO) 可能会减少视网膜位移. 这一发现表明,直接交换方法在尽量减少术后视网膜变化方面具有潜在的好处.
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
- 手术技巧 手术技巧
背景情况:
- 脊髓性视网膜脱落 (RRD) 是一种严重的疾病,需要手术干预.
- 用油 (SO) 吸管切除Pars plana vitrectomy (PPV) 是RRD的一种常见的手术方法.
- 视网膜位移是PPV后的潜在术后并发症.
研究的目的:
- 为了比较直接的 perfluorocarbon 液体 (PFCL) -油 (SO) 交换后的视网膜位移与间接的 PFCL-空气和空气-SO 交换在 RRD 的 PPV 期间.
- 评估在接受不同流体交换方法的RRD患者视网膜位移的发生,数量和方向.
主要方法:
- 一个比较的案例系列58眼睛最近的RRD经历了标准的三端口PPV与SO吸管.
- 使用直接或间接方法进行的流体交换.
- 在一个月后进行术后评估,使用眼科检查和 fundus自光成像 (FAF) 来评估视网膜位移.
主要成果:
- 在直接组的41.4%和间接组的62.1%观察到视网膜位移 (没有显著差异).
- 与间接组 (282.61μm) 相比,直接交换组 (220.33μm) 的平均视网膜位移明显较低 (P=0.04).
- 视网膜位移的方向在两组之间没有显著差异 (P=0.093).
结论:
- 在RRD的PPV中,手术后视网膜位移的发生和位置在直接和间接流体交换方法之间没有显著差异.
- 与间接方法相比,直接的PFCL-SO交换方法导致的视网膜平均移位明显较低.
- 直接交换方法可能有助于最大限度地减少RRD手术后的视网膜位移.
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