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目的探讨曲安奈德(TA)染色玻璃体辅助玻璃体切割术在治疗孔源性视网膜脱离中的应用价值。设计回顾性病例系列。研究对象北京英智眼科医院2006～2009年孔源性视网膜脱离经睫状体平坦部玻璃体切割术的患者425例(428眼)。方法比较TA辅助组(302例,304眼)与未进行TA辅助的对照组(123例,124眼)两组间术前术后的视力及并发症差异(χ2检验)。TA组及对照组平均随访分别为(18.3±6.3)、(21.3±4.2)个月。主要指标最佳矫正视力,术后并发症。结果 TA组术后视力改善与对照组比较差异有统计学意义(P<0.05)。TA组术后视网膜复发性脱离、黄斑前膜的复发率较对照组明显减少(P均<0.05)。术后一过性眼压增高两组未见明显差异(P>0.05)。结论使用TA染色的玻璃体切割视网膜复位手术能够降低术后复发性视网膜脱离和视网膜前膜的发生率,而且未增加手术并发症。
Objective To investigate the value of triamcinolone acetonide (TA) staining vitrectomy assisted vitrectomy in the treatment of rhegmatogenous retinal detachment. Design retrospective case series. Participants 425 cases (428 eyes) of patients with rhegmatogenous retinal detachment underwent pars plana vitrectomy in Beijing Yingzhi Ophthalmic Hospital of Beijing from 2006 to 2009. Methods The differences of visual acuity and complications between the two groups (302 cases, 304 eyes) and the control group without TA (123 eyes, 124 eyes) were compared before and after surgery (χ2 test). The average follow-up of TA group and control group were (18.3 ± 6.3) and (21.3 ± 4.2) months, respectively. The main indicators of the best corrected visual acuity, postoperative complications. Results The postoperative visual acuity improvement in TA group was significantly different from that in control group (P <0.05). Recurrence detachment of retinal detachment in the TA group was significantly less than that in the control group (P <0.05). Postoperative transient intraocular pressure increased in two groups showed no significant difference (P> 0.05). Conclusion TA-stained vitrectomy for retinal reattachment can reduce the incidence of postoperative recurrent retinal detachment and pre-retinal membrane without increasing the complications of surgery.