延迟的风湿原性视网膜脱离在眼手术后:一个多中心研究
Sumit Randhir Singh1, Francesco Boscia2, Giacomo Boscia2
1Akhand Jyoti Eye Hospital, CoE Mastichak, Saran, Bihar, India.
Retina (Philadelphia, Pa.)
|February 25, 2025
概括
黄斑手术后延迟的风湿性视网膜脱落 (RRD),通常是由于错过的视网膜断裂,发生在0.55%的病例中. 尽管成功重新连接,视力敏度经常恶化后RRD修复.
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
- 斑点手术 斑点手术
背景情况:
- 黄斑外科手术,包括全厚黄斑孔 (FTMH) 和视网膜膜 (ERM) 的手术,可能因延迟风湿性视网膜脱落 (RRD) 而复杂化.
- 了解黄斑手术后的RRD的发生率,时间和特征对于患者管理和手术规划至关重要.
研究的目的:
- 为了调查眼睛的解剖学和视觉结果,在经历黄斑手术后发展出延迟的RRD.
- 确定在黄斑手术后与RRD相关的视网膜断裂的原因和模式.
主要方法:
- 一项回顾性多中心研究分析了RRD修复发生在至少3个月的黄斑手术 (FTMH或ERM) 后的眼睛.
- 收集的数据包括术前和术后最佳校正视敏度 (BCVA),手术细节,RRD的时间,吸管和视网膜断裂特征.
主要成果:
- 在2,906只眼睛中,16只眼睛 (0.55%) 在平均8.4个月的黄斑手术后出现了RRD.
- 错过或de novo视网膜断裂是主要原因 (68.75%),其次是可能的微断裂,巨型视网膜撕裂和与视网相关的断裂.
- 在87.5%的眼睛中实现了解剖学成功 (一次手术后的重新连接),但BCVA从20/80显著恶化到20/160 (P < 0.001).
结论:
- 黄斑手术后延迟RRD并不常见,但显著,通常是由于错过或新的视网膜断裂造成的.
- 虽然解剖学重新连接率很高,但尽管手术成功,但很大一部分患者的视力敏度下降.
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