Surgical Treatment of Rhegmatogenous Retinal Detachment in the Only Seeing Eye.

Q4 Medicine Ceska a Slovenska Oftalmologie Pub Date : 2025-01-01 DOI:10.31348/2024/38
Oldřich Chrapek, Veronika Matušková, Daniela Vysloužilová, Jan Souček, Kristína Sičová, Michal Březík
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Abstract

Aim: To retrospectively evaluate the anatomical and functional success of surgical treatment of rhegmatogenous retinal detachment (RRD) in the only remaining seeing eye.

Material and methods: The study included 28 eyes of 28 patients, 19 (68%) of whom were men, with an average age of 46 years. They were operated on by a single surgeon for RRD at the Eye Clinic of the University Hospital and Faculty of Medicine, Masaryk University in Brno, from July 1, 2019, to April 30, 2023, using cryosurgical techniques and/or 25G+ pars plana vitrectomy (PPV). In 11 patients, 25G+ PPV was performed with the application of a pre-equatorial cerclage. The Blunt ocular trauma and uncomplicated cataract surgery with implantation of a posterior chamber intraocular lens were admissible within the patient histories. The cause of RRD was retinal tear(s) regardless of their number and location. The transparency of the anterior segment of the eye enabled reliable visualization of the posterior segment. Preoperative proliferative vitreoretinopathy (PVR) grades A-D2 were acceptable. Patients with a history of penetrating eye injury were excluded. Patients were evaluated 1-3 months after the performance of PPV. The surgery was considered anatomically successful if the retina was completely reattached. Each patient's final visual acuity (VA) was assessed using a Snellen chart. Numerical results were expressed as arithmetic means and percentages. Since the different groups were not compared, no statistical tests were needed.

Results: Retinal reattachment was achieved in 27 patients (97%), while 1 patient (3%) experienced retinal detachment, resulting in anatomical failure of the treatment. 9 patients (32%) achieved VA ≥ 4/8.

Conclusion: We consider cryosurgical techniques using episclerally fixed cerclage bands and buckles, 25G+ PPV, and possibly a combination thereof, to be suitable methods for treating RRD in the only remaining seeing eye.

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单眼孔源性视网膜脱离的手术治疗。
目的:回顾性评价手术治疗唯一能看见眼孔源性视网膜脱离(RRD)在解剖学和功能上的成功。材料与方法:28例患者28只眼,其中19例(68%)为男性,平均年龄46岁。2019年7月1日至2023年4月30日,他们在布尔诺马萨里克大学医院和医学院眼科诊所由一名外科医生进行RRD手术,使用冷冻技术和/或25G+玻璃体切割(PPV)。在11例患者中,25G+ PPV应用赤道前环扎术。钝性眼外伤和无并发症的白内障手术合并后房型人工晶状体植入术在患者病史中是可以接受的。RRD的原因是视网膜撕裂,不论其数量和位置。眼前段的透明使眼后段的可见性可靠。术前增生性玻璃体视网膜病变(PVR)分级A-D2均可接受。排除有穿透性眼外伤史的患者。在PPV实施后1-3个月对患者进行评估。如果视网膜完全重新附着,手术在解剖学上是成功的。每位患者的最终视力(VA)使用Snellen表进行评估。数值结果用算术平均值和百分比表示。由于没有对不同组进行比较,因此不需要进行统计检验。结果:27例(97%)患者视网膜重新附着,1例(3%)患者视网膜脱离,导致解剖治疗失败。9例(32%)患者VA≥4/8。结论:我们认为冷冻技术应用于锁骨外固定环带和带扣,25G+ PPV,以及可能的组合,是治疗RRD的合适方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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Ceska a Slovenska Oftalmologie
Ceska a Slovenska Oftalmologie Medicine-Ophthalmology
CiteScore
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