25G+微创玻璃体切除术治疗合并脉络膜脱离的孔源性视网膜脱离的临床观察

Clinical observation of 25G+minimally invasive vitrectomy for rhegmatogenous retinal detachment with choroid detachment

目的观察25G+微创玻璃体切除术治合并疗脉络膜脱离的孔源性视网膜脱离的临床疗效。方法收集2018年2月至2019年5月我院收治的患者17例(17眼)资料,经25G+微创玻璃体切除术治疗,术后随访至硅油取出术后6月,评估治疗的临床效果。结果17眼中一次手术视网膜复位16眼(占94.1%),1例经二次玻璃体手术后最终复位。术后最终最佳矫正LogMAR视力1.27±0.65,术前为2.34±0.71,两者比较有统计学差异义(F=52.17,P<0.05)。术后1天,3天,2周,3月平均眼压分别为(20.3±3.2)mmHg,(28±4.6)mmHg,(18±2.9)mmHg,(15±5.1)mmHg,与手术前(10.1±3.6)mmHg相比均有明显差异(P<0.05),随访至硅油取出术后3月,1眼眼压高需两联药物控制,余无治疗相关并发症。结论25G+微创玻璃体切除术是治疗合并脉络膜脱离的孔源性视网膜脱离的有效方法。

Objective To observe the clinical effect of 25G+minimally invasive vitrectomy for rhegmatogenous retinal detachment with choroid detachment.Methods data of 17 patients(17 eyes)admitted to our hospital from February 2018 to May 2019 were collected and treated with 25G+minimally invasive vitrectomy.The patients were followed up until 6 months after silicone oil removal.Evaluate the clinical effect of the treatment.Results retinal reposition was achieved in 16 eyes(94.1%)in 17 eyes.The visual acuity of LogMAR was 1.27±0.65 after surgery and 2.34±0.71 before surgery,showing a statistically significant difference(F=52.17,P<0.05).The mean intraocular pressure was(20.3±3.2)mmhg,(28±4.6)mmhg,(18±2.9)mmhg,and(15±5.1)mmhg at 1 day,3 weeks,and 3 months after the operation.and there were significant differences compared with(10.1±3.6)mmhg before the operation(P<0.05).The patients were followed up to 3 months after the removal of silicone oil,and the high intraocular pressure in 1 eye needed to be controlled by two drugs,and There were no other treatment-related complications.Conclusion 25G+minimally invasive vitrectomy is an effective method to treat rhegmatogenous retinal detachment with choroidal detachment.