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| Effect of 23GTVS on Macular Function and Morphology in Patients with Complex Rhegmatogenous Retinal Detachment |
| ZHU Yanni, LIU Huifeng, KOU Zhangfeng, et al |
| The Second Affiliated Hospital of Xi'an Medical University, Shaanxi Xi'an 710038, China |
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Abstract Objective: To investigate the effect of conjunctival sutureless vitrectomy (23GTVS) on macular function and morphology in patients with complicated rhegmatogenous retinal detachment (RD). Methods: 104 patients with complex conjunctival retinal detachment according to treatment mode was divided into control group (n=52) and the treatment group (n=52), the control group conventional treatment, the experimental group treatment with 23 GTVS. Then operation result, the vision, intraocular pressure, corneal dispersion and corneal curvature before and after surgery, macular function and form, and complications occurred in both group were compared. Results: Effective rate of treatment group was significantly higher than the control group 92.30% vs 76.92%, the difference was statistically significant (P<0.05). After surgery, visual acuity in the treatment group was significantly higher than in the control group (P<0.05). The corneal astigmatism and corneal curvature of the control group increased after surgery, and the corneal astigmatism and corneal curvature of the treatment group did not change. The intraocular pressure in both group was no difference statistically significant (P<0.05). The rate of neuroedema, submacular hydrops and retinal epithelial thickness in the treatment group were lower than the control group 3.84% vs 15.38%, 7.69% vs 23.07%, (152.45±18.11) vs (162.21±20.23)μm (P<0.05). The incidence of complications in the treatment group was lower than that in the control group 9.62% vs 25.00%, and the difference was statistically significant (P<0.05). Conclusion: The application of 23GTVS in complex rhegmatogenous retinal detachment is effective, and has little effect on macular function and morphology.
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[1] Chen X, Miller JB, Eliott D. Recurrent macular detachment due to occult retinal break in a patient with optic disc pit[J]. Ophthalmic Surg Lasers Imaging Retina, 2017,48(5):432~434.
[2] Mikhail MA, Mangioris G, Casalino G, et al. Outcome of primary rhegmatogenous retinal detachment surgery in a tertiary referral centre in Northern Ireland - A regional study[J]. Ulster Med, 2017,86(1):15~19.
[3] 刘鹏飞,王兴利,魏亚明.经结膜23G无缝合玻璃体切除手术治疗孔源性视网膜脱离[J].西北国防医学杂志,2016,37(5):294~296.
[4] 段直光,俞丽云,陈银朝,等.23G微创玻璃体切割术的临床应用[J].国际眼科杂志,2014,13(2):293~296.
[5] 李凤鸣.眼科全书[M].第1版.1996.2425~2426.
[6] 崔丽,姜燕荣,赵明威,等.巩膜扣带术与玻璃体切割术治疗累及黄斑的孔源性视网膜脱离后对黄斑结构改变及视力预后的影响[J].中华实验眼科杂志,2016,34(10):926~929.
[7] 杨一涛.20G和23G联合玻璃体切割术的短期疗效分析[J].眼科新进展,2014,34(10):950~953.
[8] 刘楠楠,张震.初期开展23G微创玻璃体切割术的临床观察[J].临床眼科杂志,2015,23(04):319~322.
[9] 蒋红文,骆晓琴.23G微创玻璃体切割术治疗特发性黄斑裂孔的疗效[J].国际眼科杂志,2017,17(4):691~693.
[10] 石菊芳,张萍.23G微创玻璃体切割治疗黄斑裂孔性视网膜脱离的手术配合[J].江苏医药,2016,42(22):2535~2536.
[11] 汪永,李寿玲,赵冰莹.经结膜无缝合23G玻璃体切除术灌注系统在玻璃体切除术后白内障手术中的应用[J].安徽医科大学学报,2014,49(1):117~119. |
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2018, Vol. 24 
