最小量巩膜扣带术治疗陈旧性视网膜脱离疗效观察

Efficacy of Minimal Scleral Buckling for Longstanding Rhegmatogenous Retinal Detachment

摘要: 目的：观察最小量巩膜扣带术治疗陈旧性视网膜脱离的效果。方法：回顾性分析2016年10月到2019年9月在我院行最小量巩膜扣带术治疗陈旧性视网膜脱离患者20例(21眼)的临床资料，术后随访3~10月，观察术前视网膜脱离、裂孔、PVR分级及网膜下增殖情况，对比分析术前、术后最佳矫正视力、网膜下液吸收、视网膜复位情况。结果：术后1周内视网膜解剖复位成功17眼，末次随访视网膜复位21眼。术后最佳矫正视力较术前显著提高(P = 0.008)，玻璃体视网膜增殖情况较术前改善。所有患者无严重并发症出现。结论：最小量巩膜扣带术治疗部分陈旧性视网膜脱离安全有效，特别是对于年轻患者可考虑作为首选手术方式。

Abstract: Purpose: To investigate the efficacy of minimal scleral buckling on longstanding retinal detachment. Methods: Retrospective analysis of 20 patients (21 eyes) with longstanding rhegmatogenous retinal detachment had undergone minimal scleral buckling surgery in our hospital from October 2016 to September 2019. Follow period was 3 - 10 mouths. Clinical data included retinal detachment, tears and PVR classification, compare of best corrected visual acuity, subretinal fluid absorption, retinal reattachment before and after operation. Results: 17 eyes had anatomical reattachment within 1 week post operation, and all 21 eyes were reattachment during follow-up. Subretinal fluid in OCT scan was gradually absorbed till retinal completely reset. There was no significant change in best corrected visual acuity after the operation, and the vitreous retinal proliferation was improved after surgery. Conclusion: The minimal scleral buckling is safe and effective in treating some longstanding retinal detachment, especially in young patients.