Journal of Otolaryngology and Ophthalmology of Shandong University ›› 2021, Vol. 35 ›› Issue (6): 89-91.doi: 10.6040/j.issn.1673-3770.0.2020.220

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Surgical clinical treatment outcomes of 25 gauge vitrectomy for superior rhegmatogenous retinal detachment with air tamponade

LU Wenrui, YAN Duan, XU Nuo   

  1. Department of Ophthalmology, Fujian Provincial Hospital, Fuzhou 350000, Fujian, China.
  • Published:2021-12-10

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Abstract: Objective To observe the clinical treatment outcomes and safety of 25-gauge vitrectomy with air tamponade for superior rhegmatogenous retinal detachment. Methods Retrospective analysis 32 eyes with superior rhegmatogenous retinal detachment from 32 patients who received 25-gauge vitrectomy with air tamponade from December 2018 to March 2020. Best corrected visual acuity(BCVA)(LogMAR)and intraocular pressor(IOP)were test before surgery, 1 week, and the last follow-up time after surgery. Retinal reattachment condition and intraoperative and postoperative complications were recorded. Results The mean BCVA was significantly different among before surgery,1 week and the last follow-up time after surgery,and the BCVA at 1 week and the last follow-up time after surgery was evidently improved in comparison with before surgery(1.4(0.2-1.7), 0.83±0.35, 0.52±0.34, Mann Whitney U text, P<0.05).The mean IOP was(15.15±3.04 mmHg)before surgery and(17.75±2.75 mmHg)1 week after surgery, showing a significant difference among them(t text, P<0.05), the IOP 1 week after surgery was evidently higher than that before surgery.The mean IOP was(15.20±1.81 mmHg)at the last follow-up time, have not difference between the mean IOP before the surgery(t text, P>0.05). The retinal reattachment rate following a single procedure was 100%. Conclusion 25-Gauge vitrectomy and air tamponade for superior rhegmatogenous retinal detachment is an effective and safe approach, and fewer complications and higher success rates.

Key words: Vitrectomy, Air tamponade, Superior rhegmatogenous retinal detachment

CLC Number: 

  • R774
[1] 陆颖丽,周用谋. 23 G与25 G+玻璃体切割手术治疗视网膜脱离的对比分析[J]. 国际眼科杂志, 2016, 16(6): 1110-1112. doi:10.3980/j.issn.1672-5123.2016.6.27. LU Yingli, ZHOU Yongmou. Analysis of 23 G and 25 G+vitrectomy for retinal detachment[J]. International Eye Science, 2016, 16(6): 1110-1112. doi:10.3980/j.issn.1672-5123.2016.6.27.
[2] Liu BQ, Chen SD, Li YH, et al. Comparison of macular buckling and vitrectomy for the treatment of macular schisis and associated macular detachment in high myopia: a randomized clinical trial[J]. Acta Ophthalmol, 2020, 98(3): e266-e272. doi:10.1111/aos.14260.
[3] Tabandeh H, Flaxel C, Sullivan PM, et al. Scleral rupture during retinal detachment surgery: risk factors, management options, and outcomes[J]. Ophthalmology, 2000, 107(5): 848-852. doi:10.1016/S0161-6420(00)00033-6.
[4] Wirostko WJ, Covert DJ, Han DP, et al. Microbiological spectrum of organisms isolated from explanted scleral buckles[J]. Ophthalmic Surg Lasers Imaging Retina, 2009, 40(2): 201-202. doi:10.3928/15428877-20090301-22.
[5] Romano MR, Groenwald C, Das R, et al. Removal of Densiron-68 with a 23-gauge transconjunctival vitrectomy system[J]. Eye(Lond), 2009, 23(3): 715-717. doi:10.1038/eye.2008.396.
[6] 田涛, 刘茹, 彭婧利, 等. 多波长激光治疗DR合并视网膜中央静脉阻塞[J]. 国际眼科杂志, 2014, 14(7): 1260-1262. doi:10.3980/j.issn.1672-5123.2014.07.23. TIAN Tao, LIU Ru, PENG Jingli, et al. Efficacy observation on multiple wave length laser for diabetic retinopathy and central retinal vein occlusion[J]. International Eye Science, 2014, 14(7): 1260-1262. doi:10.3980/j.issn.1672-5123.2014.07.23.
[7] Bamonte G, Mura M, Tan HS. Hypotony after 25-gauge vitrectomy[J]. Am J Ophthalmol, 2011, 151(1): 156-160. doi:10.1016/j.ajo.2010.06.042.
[8] Oshima Y, Wakabayashi T, Sato T, et al. A 27-gauge instrument system for transconjunctival sutureless microincision vitrectomy surgery[J]. Ophthalmology, 2010, 117(1): 93-102.e2. doi:10.1016/j.ophtha.2009.06.043.
[9] von Fricken MA, Kunjukunju N, Weber C, et al. 25-gauge sutureless vitrectomy versus 20-gauge vitrectomy for the repair of primary rhegmatogenous retinal detachment[J]. Retina, 2009, 29(4): 444-450. doi:10.1097/iae.0b013e318196b19c.
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