折叠顶压球囊与传统巩膜外加压治疗孔源性视网膜脱离的对比研究

Comparative study on the treatment of rhegmatogenous retinal detachment between foldable capsular body and scleral buckling

摘要:

目的：对折叠顶压球囊(FCB)与传统巩膜外加压术(SB)治疗孔源性视网膜脱离(RRD)的疗效及并发症进行对比研究。

方法：回顾性分析2019-03/2022-04我院81例82眼RRD患者的临床资料，对比两种治疗方式下患者术后的视网膜复位率、最佳矫正视力和视网膜下积液吸收的疗效差异，以及术后不适、并发症的发生率。

结果：术后FCB组视网膜复位率为96%，SB组复位率为92%，两组无差异(P>0.05)。两组波及黄斑患眼的最佳矫正视力手术前后比较均有差异(P<0.01)。两组均可促进患眼视网膜下积液吸收。FCB组手术时间为16.50(12.75，25.00)min，SB组手术时间为38.00(36.25，41.75)min(P<0.001)。FCB组患者术后眼睑肿胀不适发生率明显低于SB组(P<0.001)，术后1d FCB组VAS疼痛评分1.00(0.00，2.00)分，SB组3.00(2.00，3.00)分(P<0.001)。

结论：FCB治疗RRD是一种安全有效且可减轻患者痛苦的手术方法，相较于SB，手术时间明显缩短，患者术后不良反应轻。

Abstract:

AIM: To compare the effectiveness and complications of treating rhegmatogenous retinal detachment(RRD)with foldable capsule body(FCB)and scleral buckling(SB).

METHODS: The clinical data of 81 patients(82 eyes)with RRD who underwent surgery at our hospital from March 2019 to April 2022 were retrospectively analyzed. The differences in retinal reattachment rate, best-corrected visual acuity, the absorption of subretinal fluid, postoperative discomfort and incidence of complications between the two treatments were compared.

RESULTS: The retinal reattachment rate was 96% in the FCB group and 92% in the SB group, with no significant difference between the two groups(P>0.05). The best corrected visual acuity of the affected macular eyes was different in the both groups(P<0.01). Both groups effectively promoted the absorption of subretinal fluid. The operation time of FCB group was 16.50(12.75, 25.00)min, while it was 38.00(36.25, 41.75)min in the SB group(P<0.001). Patients in the FCB group also had significantly lower eyelid swelling and pain symptoms than those in the SB group(P<0.001). The visual analogue scale(VAS)score at 1d after operation was 1.00(0.00, 2.00)in the FCB group and 3.00(2.00, 3.00)in the SB group(P<0.001).

CONCLUSION: FCB is a safe and effective surgical method to treat RRD that can alleviate patient's pain. Furthermore, FCB has a significantly shorter operation time and milder postoperative adverse reactions than SB.