索莫医生综合学术医院视网膜脱离合并增生性玻璃体视网膜病变的特点

Ifan Romadhon Lukmana, Sauli Ari Widjaja, Wimbo Sasono, Muhammad Firmansjah, Ima Yustiarini, Ady Dwi Prakosa, Moestidjab Moestidjab, Gatut Suhendro
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摘要

前言:本研究的目的是评估增殖性玻璃体视网膜病变视网膜脱离的发生率和特点。方法:回顾性分析2013 - 2017年在印度尼西亚泗水Soetomo综合学术医院眼科门诊收治的原发性视网膜脱离(RD)增生性玻璃体视网膜病变(PVR)患者的病历。结果:2013-2017年Dr. Soetomo综合学术医院RD合并PVR患者80例(21%),其中男性59例,女性21例,平均年龄47.5±14.3岁。其中近视72.5%,无晶状体1.25%,高度近视23.75%,有外伤史18.75%,右眼受累60%。视网膜特征为视网膜破裂情况(位于颞上(34%),马蹄撕裂(56%),单次破裂(60%)),黄斑脱落(90%),分离面积4象限(43,75%),PVR情况为B级PVR (45%), RD平均持续时间156天,平均等待手术时间61.1天。治疗方式以玻璃体切除术(70.4%)、硅油填塞(59.3%)、术前、术后视力均小于3米数指、术前(91.25%)、术后1个月(76%)、6个月(52.5%)、术后视网膜再植(77.3%)居多。结论:本研究结果表明,RD合并PVR的患者数量低于以往的研究。患者特征的各种结果可作为眼科医生决定行动和解释疾病预后的指南。更大样本量和前瞻性方法的进一步研究将能够提供更好的结果。关键词:视网膜脱离,增生性玻璃体视网膜病变,特征性pvr
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CHARACTERISTICS OF RETINAL DETACHMENT PATIENTS WITH PROLIFERATIVE VITREORETINOPATHY AT Dr. SOETOMO GENERAL ACADEMIC HOSPITAL
Introduction: The aim of this study is to evaluate the incidence and characteristics of retinal detachment patients with proliferative vitreoretinopathy. Methods: Retrospective review of medical record from primary retinal detachment (RD) patients with proliferative vitreoretinopathy (PVR) between 2013 and 2017 at Outpatient Department of Ophthalmology, Dr. Soetomo General Academic Hospital, Surabaya, Indonesia. Result: : The number of RD patients with PVR at Dr. Soetomo General Academic Hospital in 2013-2017 was 80 patients (21%), consisting of 59 men and 21 women with mean of  age was 47.5 ± 14.3 years. The characteristics of the subjects were phakic 72.5%, aphakic 1.25%, high myopia 23.75%, history of trauma 18.75% and affected to right eye 60%. Retinal characteristics were break conditions in the retina (located at superotemporal  (34%), horseshoe tear (56%), and single break (60%)), macula off (90%), area of detachments were 4 quadrants (43,75%),  PVR conditions were grade B PVR (45%), mean duration of RD was 156 days, mean  length of surgery waiting list was 61.1 days. The majority of treatment types were vitrectomy (70,4%), majority of tamponade using silicone oil (59.3%), majority of pre-operative and post-operative visual acuity were less than 3 meters counting finger, pre-operative (91.25%) , post-operative 1 month (76%) and 6 months (52.5%), and the majority of post-operative retinal reattachment were 77.3%. Conclusion: The results of this study indicate the number of RD patients with PVR was lower than previous studies. Various results of patient characteristics can be used as guidelines for ophthalmologists in determining actions and explaining the prognosis of the disease. Further research with a larger sample size and prospective methods will be better able to provide better results. Keywords: retinal detachment, proliferative vitreoretinopathy, characteristic pvr
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