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Surgical outcomes in inferior recurrences of rhegmatogenous retinal detachment

International Journal of Ophthalmology(English edition) 2021年第12期14卷 1909-1914页

作者： Sergey V.Churashov tatiana n.shevalova Alexei n.Kulikov Dmitrii S.Maltsev Department of Ophthalmology Military Medical AcademySt Petersburg 194044Russia

AIM:To analyze the anatomical and functional outcomes in the inferior recurrences of rhegmatogenous retinal detachment(RRD)depending on the surgical ***:Eighty-one eyes of 81 patients(47 males and 34 females with a mean age of 54.8±14.1y)who demonstrated at least one inferior recurrence of RRD were included in this retrospective *** patients were categorized as having received either circular scleral buckling(SB),pars plana vitrectomy(PPV),a combination of SB and PPV(SB+PPV),PPV with retinotomy(PPV+RT),or PPV+RT and short-term postoperative perfluorocarbon liquid tamponade(PPV+RT+pPFCL).All cases were followed up until successful retinal reattachment or third *** primary outcome measures were the achievement of the surgical goal without recurrence of RRD and bestcorrected visual acuity(BCVA).RESULTS:After the treatment of the first recurrence,the recurrence rate in the PPV+SB group was statistically significantly lower than that of the PPV(P=0.0012),PPV+RT(P=0.028),or PPV+RT+pPFCL(P=0.047)*** was no statistically significant difference between PPV+SB,PPV+RT,and PPV+RT+pPFCL groups in the recurrence rate after treatment of the second recurrence(42 eyes).However,there was a statistically significant(P=0.016)trend towards a decrease of recurrence rate after PPV+RT+*** was no statistically significant improvement of BCVA in either study group(P>0.05)after both first and second recurrence *** mean time follow-up was 109.0±91.0d before the first recurrence and 210.0±186.6d between previous surgery at second ***:Patients with first inferior recurrence of RRD may benefit from SB as an adjunct to *** and short-term pPFCL tamponade in the second recurrence may allow better anatomical outcomes,however,without functional improvement.

关键词： rhegmatogenous retinal detachment pars plana vitrectomy scleral buckling retinotomy recurrence rate

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