AIM: To compare the incidence of persistent submacular fluid(SMF) and visual outcome after pars plana vitrectomy(PPV) for rhegmatogenous retinal detachment(RRD) in different preoperative macular status according to op...AIM: To compare the incidence of persistent submacular fluid(SMF) and visual outcome after pars plana vitrectomy(PPV) for rhegmatogenous retinal detachment(RRD) in different preoperative macular status according to optical coherence tomography(OCT).METHODS: A non-randomized, retrospective review was performed for patients who underwent successful PPV for RRD. OCT exams were taken preoperatively and 1 mo after surgery, until SMF disappeared. According to the preoperative macular status on OCT, patients were divided into two groups: macula-off RRD(Group A) and maculaon RRD(Group B). In Group A, there were two subgroups: macula partly detached(Group A1) and macula totally detached(Group A2). The main outcome measures were the presence of SMF on OCT 1 mo after surgery, and the preoperative and postoperative best corrected visual acuities(BCVA), among the different groups and depending on the presence or absence of persistent SMF.RESULTS: A total of 139 eyes of 139 patients were included in the study. Persistent SMF at 1 mo after surgery was 15.8%(22/139), all occurring in Group A(22/101); Group B had no SMF at 1 mo after surgery(0/38, P=0.002). The incidence of persistent SMF at 1 mo after surgery in Group A1 was 50%(14/28), and in Group A2 was 11.0%(8/73, P<0.001). Significant differences were shown between the presence and absence of persistent SMF on foveolaoff RRD, the preoperative BCVA, the 1 mo postoperative BCVA, and the degree of the BCVA improvement from 1 mo postoperatively to the final follow-up(P<0.05). However, there were no significant differences in the final BCVA(P>0.05).CONCLUSION: Persistent SMF after PPV for retinal detachment is associated with preoperative macular status. Macula-uninvolving RRD shows no persistent SMF after PPV. Macular partly detached RRD has a higher incidence of SMF than macula totally detached RRD after PPV. The persistence of SMF may be responsible for the delayed visual recovery, whereas there were no significant differences in the final visual acuity.展开更多
● AIM: To evaluate the safety and efficacy of intravitreal conbercept(IVC) injections as pretreatment for pars plana vitrectomy(PPV) in severe proliferative diabetic retinopathy(PDR).● METHODS: This was a retrospect...● AIM: To evaluate the safety and efficacy of intravitreal conbercept(IVC) injections as pretreatment for pars plana vitrectomy(PPV) in severe proliferative diabetic retinopathy(PDR).● METHODS: This was a retrospective chart review of all patients who underwent PPV for PDR from January 2014 to October 2016. Patients who underwent IVC injection before PPV were assigned to the IVC group; the others were assigned to the control group. The IVC was performed 3-7 d before surgery in the IVC group. All the eyes in the two groups were operated by the same doctor to complete the vitrectomy. Intraoperative complications and the changes in best-corrected visual acuity(BCVA) before and after surgery were compared between the two groups.● RESULTS: A total of 68 eyes of 63 patients(22 eyes in the IVC group and 46 eyes in the control group) were examined. The risk of intraoperative bleeding was lower in the IVC group(2/22) than in the control group(25/46, P=0.000). Furthermore, the use of endodiathermy was significantly lower in the IVC group(1/22) than in the control group(12/46, P=0.047). The surgical time in the IVC group(112.64±34.52 min) was significantly shorter than in the control group(132.85±40.04 min, P<0.05). Compared to the BCVA before surgery, the mean BCVA was significantly improved after surgery for both groups(P<0.05).● CONCLUSION: PPV is an effective treatment and can improve vision in patients with PDR. Preoperative intravitreal injection of conbercept could reduce the chances of intraoperative bleeding and the use of endodiathermy and shorten the operative time, which are beneficial in the management of PDR.展开更多
AIM:To compare the safety and efficacy of conbercept intravitreal injection and half-dose photodynamic therapy(PDT)in treating chronic central serous chorioretinopathy(CSC).METHODS:This study was retrospective.Thirty-...AIM:To compare the safety and efficacy of conbercept intravitreal injection and half-dose photodynamic therapy(PDT)in treating chronic central serous chorioretinopathy(CSC).METHODS:This study was retrospective.Thirty-seven patients(37 eyes)with chronic CSC received conbercept injections while 57 patients(57 eyes)were treated with half-dose PDT.All subjects were followed in 6mo.Outcome measures included change in best-corrected visual acuity(BCVA),central macular thickness(CMT),subfoveal choroidal thickness(SFCT),and resolution of subretinal fluid(SRF).RESULTS:There was no adverse event observed in either treatment group.At the 6-month follow-up,26 eyes(70.3%)in the conbercept group and 54 eyes(94.7%)in the half-dose PDT group(P<0.05)reached full resolution of SRF.The mean logarithm of the minimum angle of resolution(log MAR)BCVA significantly improved(P<0.001)in both treatment groups with better outcome at early phase in the half-dose PDT group(2 wk,1,and 2 mo,P<0.05).All subjects experienced significant CMT improvement(P<0.001)with no statistical difference between the two groups(P>0.05).The SFCT also improved in all subjects(P<0.001)with better outcome in the half-dose PDT group(P<0.05).CONCLUSION:Both intravitreal conbercept and halfdose PDT are safe to use in treating chronic CSC.By 6mo,both treatment groups are efficacious in improving BCVA,reducing CMT and SFCT,and resolving SRF in eyes with chronic CSC.Half-dose PDT may show better outcome at initial phase of treatment in chronic CSC.Longer follow-up period is necessary to study for long-term effect and safety.展开更多
AIM:To observe whether silicone oil(SO)tamponade could decrease macular perfusion after retinal detachment repair.METHODS:A prospective observational case-control study.Patients diagnosed with primary macular off rheg...AIM:To observe whether silicone oil(SO)tamponade could decrease macular perfusion after retinal detachment repair.METHODS:A prospective observational case-control study.Patients diagnosed with primary macular off rhegmatogenous retinal detachment undergoing successful retinal repair surgery with vitrectomy were strictly selected.Optical coherence tomography angiography findings were compared between SO and air tamponade groups.Two postoperative visiting points were set(1 and 3 mo).RESULTS:Totally 29 patients(29 eyes)were enrolled.Twenty cases had SO tamponade while 9 cases were with air tamponade.At the first visiting point,superficial parafoveal vessel density(PFSVD)significantly decreased in the SO group(P=0.0403),especially in the superior quadrant or superior-hemi area(P=0.0089,0.0426,respectively).Parafoveal deep vessel density(PFDVD)had no difference between the two groups.At the second visiting point,all quadrants of PFSVD reduced significantly in the SO group(P=0.0256,0.0001,0.0031,<0.0001 in temporal,superior,nasal,and inferior area,respectively),but PFDVD remained no different.In the air group,all areas of PFSVD showed significantly improving from the first visit to the second one(P=0.0324,0.0001,0.0371,0.0026,in temporal,superior,nasal,and inferior area,respectively);however,almost all quadrants of PFDVD showed no changes during this period.In the SO group,both PFSVD and PFDVD showed no obvious changes between the two visiting points.Besides,parafoveal full retinal thickness in the SO group reduced significantly at both visiting points over the air tamponade,while the foveal avascular zone area showed no difference in the two groups.CONCLUSION:After retinal detachment surgery with vitrectomy and SO tamponade,superficial macular perfusion and full retinal thickness could decrease obviously when compared to air tamponade.This reduction process could persist throughout the tamponade period.展开更多
AIM:To analyse macular microvascular alterations in myopic choroidal neovascularization(m CNV)and the efficiency of anti-vascular endothelial growth factor(antiVEGF)therapy for m CNV by optical coherence tomography an...AIM:To analyse macular microvascular alterations in myopic choroidal neovascularization(m CNV)and the efficiency of anti-vascular endothelial growth factor(antiVEGF)therapy for m CNV by optical coherence tomography angiography(OCTA).METHODS:A total of 123 patients were included in this retrospective study,divided into m CNV group,high myopia(HM)group,and normal group at the Affiliated Eye Hospital of Wenzhou Medical University from January 2017 to January 2019.Superficial vessel density,deep capillary density,foveal avascular zone(FAZ)area,A-circularity index(AI)and vessel density around the 300μm width of the FAZ region density(FD)and the area of choroidal neovascularization(CNV)lesion(only for m CNV group)were measured on 3×3 mm2 OCTA images.FAZ area was corrected for axial length.Central macular thickness(CMT)was measured on OCT in m CNV group.Compared the parameters on OCTA of 3 groups and pre-anti-VEGF and post-anti-VEGF at 1,2,3,and 6 mo follow-up in m CNV group.RESULTS:There were significant differences among 3 groups in superficial vessel density,deep capillary density and FD(P<0.05).FAZ area in HM group was smaller than normal group(P<0.05),but there was no significant difference between m CNV group and the other two group.AI increased in m CNV group(P<0.05).The mean CMT,area and flow area of CNV lesion decreased after treatment(P<0.05),while vessel density and FAZ didn’t change.The mean CMT,area and flow area of CNV lesion statistically decreased after anti-VEGF treatment in m CNV group(P<0.05),while superficial vessel density,deep capillary density and FAZ area,AI and FD didn’t change.The mean reduction ratio of lesions was 50.32%(7.07%to 100%).Lesion regression 100%was observed in 2 cases(4.88%).There was a negative correlation between the CNV lesion area and reduction ratio(r=-0.380,P=0.042)and the flow lesion area and reduction ratio(r=-0.402,P=0.030).CONCLUSION:Macular vessel density decreases,FAZ turns smaller and more irregular in m CNV eyes.AntiVEGF therapy is efficient for m CNV without affecting vessel density and FAZ,but it is unable to completely eliminate CNV lesions in most cases.The bigger m CNV lesions have lower reduction ratio.展开更多
For potential military applications, a flexible metamaterial absorber(MMA) working on whole K-bands with totalthickness of 3.367 mm, ultra-broadband, polarization-insensitive, and wide-angle stability is presented bas...For potential military applications, a flexible metamaterial absorber(MMA) working on whole K-bands with totalthickness of 3.367 mm, ultra-broadband, polarization-insensitive, and wide-angle stability is presented based on frequencyselective surface(FSS). The absorber is composed of polyvinyl chloride(PVC) layer, polyimide(PI) layer, and poly tetra fluoro ethylene(PTFE) layer, with a sandwich structure of PVC–PI–PTFE–metal plate. Periodic conductive patterns play a crucial role in the absorber, and in traditional, it is designed on the upper surface of PI layer to form LC resonance. Different from commonly absorber, all the patterns are located on the lower surface of the PI layer in this work, and hence the impedance matching and absorptivity are improved in this purposed absorber. The flexible absorber with patterns on lower surface of the PI layer is compared with that on upper surface of the PI layer, the difference and the reasons are explained by absorption mechanism based on equivalent circuit model, and surface current density and electric field distribution are used to analyze resonance peaks. Absorptivity is greater than 90% in a frequency range of 10.47 GHz–45.44 GHz with relative bandwidth of 125.1%, covering the whole Ku, K, Ka, and some of X, U bands, especially containing the whole K bands from 12 GHz to 40 GHz. Radar cross section(RCS) is reduced at least 10 dB in 11.48 GHz–43.87 GHz frequency ranges,and absorption remained about 90% when the incident angle changed from 0°to 55°. The purposed absorber is fabricated,measured, and experiment results show good agreement with theoretical analysis and numerical simulation. After bonded on outer surface of different cylinders with diameters of 200 mm and 100 mm, the absorption of MMA is approximately reduced 10% and 20% respectively, which shows good conformal character with surface of various curvatures. Due to the attractive performance on strong absorption in the whole K-bands, flexible and easy conformal, our design exhibits broad potential application in radar stealth and sensors.展开更多
AIM:To evaluate scleral buckling(SB)surgery using a noncontact wide-field viewing system and 23-gauge intraocular illumination for the treatment of rhegmatogenous retinal detachment in silicone oil(SO)-filled eyes.MET...AIM:To evaluate scleral buckling(SB)surgery using a noncontact wide-field viewing system and 23-gauge intraocular illumination for the treatment of rhegmatogenous retinal detachment in silicone oil(SO)-filled eyes.METHODS:Totally 9 patients(9 eyes)with retinal detachment in SO-filled eyes were retrospectively analyzed.All patients underwent non-contact wide-field viewing system-assisted buckling surgery with 23-gauge intraocular illumination.SO was removed at an appropriate time based on recovery.The patients were followed up for at least 3mo after SO removal.Retinal reattachment,complications,visual acuity and intraocular pressure(IOP)before and after surgery were observed.RESULTS:Patients were followed up for a mean of 8.22mo(3-22mo)after SO removal.All patients had retinal reattachment.At the final follow-up,visual acuity showed improvement for 8 patients,and no change for 1 patient.The IOP was high in 3 patients before surgery,but it stabilized after treatment;it was not affected in the other patients.None of the patients had infections,hemorrhage,anterior ischemia,or any other complication.CONCLUSION:This new non-contact wide-field viewing system-assisted SB surgery with 23-gauge intraocular illumination is effective and safe for retinal detachment in SO-filled eyes.展开更多
基金Supported by the Platform Key Project of Medical Scientific Research Foundation of Zhejiang Province (No.2016ZDA016)
文摘AIM: To compare the incidence of persistent submacular fluid(SMF) and visual outcome after pars plana vitrectomy(PPV) for rhegmatogenous retinal detachment(RRD) in different preoperative macular status according to optical coherence tomography(OCT).METHODS: A non-randomized, retrospective review was performed for patients who underwent successful PPV for RRD. OCT exams were taken preoperatively and 1 mo after surgery, until SMF disappeared. According to the preoperative macular status on OCT, patients were divided into two groups: macula-off RRD(Group A) and maculaon RRD(Group B). In Group A, there were two subgroups: macula partly detached(Group A1) and macula totally detached(Group A2). The main outcome measures were the presence of SMF on OCT 1 mo after surgery, and the preoperative and postoperative best corrected visual acuities(BCVA), among the different groups and depending on the presence or absence of persistent SMF.RESULTS: A total of 139 eyes of 139 patients were included in the study. Persistent SMF at 1 mo after surgery was 15.8%(22/139), all occurring in Group A(22/101); Group B had no SMF at 1 mo after surgery(0/38, P=0.002). The incidence of persistent SMF at 1 mo after surgery in Group A1 was 50%(14/28), and in Group A2 was 11.0%(8/73, P<0.001). Significant differences were shown between the presence and absence of persistent SMF on foveolaoff RRD, the preoperative BCVA, the 1 mo postoperative BCVA, and the degree of the BCVA improvement from 1 mo postoperatively to the final follow-up(P<0.05). However, there were no significant differences in the final BCVA(P>0.05).CONCLUSION: Persistent SMF after PPV for retinal detachment is associated with preoperative macular status. Macula-uninvolving RRD shows no persistent SMF after PPV. Macular partly detached RRD has a higher incidence of SMF than macula totally detached RRD after PPV. The persistence of SMF may be responsible for the delayed visual recovery, whereas there were no significant differences in the final visual acuity.
基金Supported by the National Science and Technology Major Project of the Ministry of Science and Technology of China(No.2014ZX09303301)the Science and Technology Department of Major Scientific and Technological Projects of Major Social Development Projects of Zhejiang Province(No.2013C03048-3)+1 种基金the Medical and Health Platform Project of Zhejiang Province(No.2016RCB012)the Medical Key Subject of Zhejiang Province(No.2016CXXK2)
文摘● AIM: To evaluate the safety and efficacy of intravitreal conbercept(IVC) injections as pretreatment for pars plana vitrectomy(PPV) in severe proliferative diabetic retinopathy(PDR).● METHODS: This was a retrospective chart review of all patients who underwent PPV for PDR from January 2014 to October 2016. Patients who underwent IVC injection before PPV were assigned to the IVC group; the others were assigned to the control group. The IVC was performed 3-7 d before surgery in the IVC group. All the eyes in the two groups were operated by the same doctor to complete the vitrectomy. Intraoperative complications and the changes in best-corrected visual acuity(BCVA) before and after surgery were compared between the two groups.● RESULTS: A total of 68 eyes of 63 patients(22 eyes in the IVC group and 46 eyes in the control group) were examined. The risk of intraoperative bleeding was lower in the IVC group(2/22) than in the control group(25/46, P=0.000). Furthermore, the use of endodiathermy was significantly lower in the IVC group(1/22) than in the control group(12/46, P=0.047). The surgical time in the IVC group(112.64±34.52 min) was significantly shorter than in the control group(132.85±40.04 min, P<0.05). Compared to the BCVA before surgery, the mean BCVA was significantly improved after surgery for both groups(P<0.05).● CONCLUSION: PPV is an effective treatment and can improve vision in patients with PDR. Preoperative intravitreal injection of conbercept could reduce the chances of intraoperative bleeding and the use of endodiathermy and shorten the operative time, which are beneficial in the management of PDR.
基金Supported by Wenzhou Municipal Science and Technology Bureau(No.Y20180728)Wenzhou Municipal Science and Technology Bureau(No.Y20190635)Wenzhou Municipal Science and Technology Bureau(No.2019Y0592)。
文摘AIM:To compare the safety and efficacy of conbercept intravitreal injection and half-dose photodynamic therapy(PDT)in treating chronic central serous chorioretinopathy(CSC).METHODS:This study was retrospective.Thirty-seven patients(37 eyes)with chronic CSC received conbercept injections while 57 patients(57 eyes)were treated with half-dose PDT.All subjects were followed in 6mo.Outcome measures included change in best-corrected visual acuity(BCVA),central macular thickness(CMT),subfoveal choroidal thickness(SFCT),and resolution of subretinal fluid(SRF).RESULTS:There was no adverse event observed in either treatment group.At the 6-month follow-up,26 eyes(70.3%)in the conbercept group and 54 eyes(94.7%)in the half-dose PDT group(P<0.05)reached full resolution of SRF.The mean logarithm of the minimum angle of resolution(log MAR)BCVA significantly improved(P<0.001)in both treatment groups with better outcome at early phase in the half-dose PDT group(2 wk,1,and 2 mo,P<0.05).All subjects experienced significant CMT improvement(P<0.001)with no statistical difference between the two groups(P>0.05).The SFCT also improved in all subjects(P<0.001)with better outcome in the half-dose PDT group(P<0.05).CONCLUSION:Both intravitreal conbercept and halfdose PDT are safe to use in treating chronic CSC.By 6mo,both treatment groups are efficacious in improving BCVA,reducing CMT and SFCT,and resolving SRF in eyes with chronic CSC.Half-dose PDT may show better outcome at initial phase of treatment in chronic CSC.Longer follow-up period is necessary to study for long-term effect and safety.
基金Wenzhou Municipal Science and Technology Bureau(No.Y20180730)。
文摘AIM:To observe whether silicone oil(SO)tamponade could decrease macular perfusion after retinal detachment repair.METHODS:A prospective observational case-control study.Patients diagnosed with primary macular off rhegmatogenous retinal detachment undergoing successful retinal repair surgery with vitrectomy were strictly selected.Optical coherence tomography angiography findings were compared between SO and air tamponade groups.Two postoperative visiting points were set(1 and 3 mo).RESULTS:Totally 29 patients(29 eyes)were enrolled.Twenty cases had SO tamponade while 9 cases were with air tamponade.At the first visiting point,superficial parafoveal vessel density(PFSVD)significantly decreased in the SO group(P=0.0403),especially in the superior quadrant or superior-hemi area(P=0.0089,0.0426,respectively).Parafoveal deep vessel density(PFDVD)had no difference between the two groups.At the second visiting point,all quadrants of PFSVD reduced significantly in the SO group(P=0.0256,0.0001,0.0031,<0.0001 in temporal,superior,nasal,and inferior area,respectively),but PFDVD remained no different.In the air group,all areas of PFSVD showed significantly improving from the first visit to the second one(P=0.0324,0.0001,0.0371,0.0026,in temporal,superior,nasal,and inferior area,respectively);however,almost all quadrants of PFDVD showed no changes during this period.In the SO group,both PFSVD and PFDVD showed no obvious changes between the two visiting points.Besides,parafoveal full retinal thickness in the SO group reduced significantly at both visiting points over the air tamponade,while the foveal avascular zone area showed no difference in the two groups.CONCLUSION:After retinal detachment surgery with vitrectomy and SO tamponade,superficial macular perfusion and full retinal thickness could decrease obviously when compared to air tamponade.This reduction process could persist throughout the tamponade period.
基金Supported by Medical and Health Platform Project of Zhejiang Province(No.2021KY810)。
文摘AIM:To analyse macular microvascular alterations in myopic choroidal neovascularization(m CNV)and the efficiency of anti-vascular endothelial growth factor(antiVEGF)therapy for m CNV by optical coherence tomography angiography(OCTA).METHODS:A total of 123 patients were included in this retrospective study,divided into m CNV group,high myopia(HM)group,and normal group at the Affiliated Eye Hospital of Wenzhou Medical University from January 2017 to January 2019.Superficial vessel density,deep capillary density,foveal avascular zone(FAZ)area,A-circularity index(AI)and vessel density around the 300μm width of the FAZ region density(FD)and the area of choroidal neovascularization(CNV)lesion(only for m CNV group)were measured on 3×3 mm2 OCTA images.FAZ area was corrected for axial length.Central macular thickness(CMT)was measured on OCT in m CNV group.Compared the parameters on OCTA of 3 groups and pre-anti-VEGF and post-anti-VEGF at 1,2,3,and 6 mo follow-up in m CNV group.RESULTS:There were significant differences among 3 groups in superficial vessel density,deep capillary density and FD(P<0.05).FAZ area in HM group was smaller than normal group(P<0.05),but there was no significant difference between m CNV group and the other two group.AI increased in m CNV group(P<0.05).The mean CMT,area and flow area of CNV lesion decreased after treatment(P<0.05),while vessel density and FAZ didn’t change.The mean CMT,area and flow area of CNV lesion statistically decreased after anti-VEGF treatment in m CNV group(P<0.05),while superficial vessel density,deep capillary density and FAZ area,AI and FD didn’t change.The mean reduction ratio of lesions was 50.32%(7.07%to 100%).Lesion regression 100%was observed in 2 cases(4.88%).There was a negative correlation between the CNV lesion area and reduction ratio(r=-0.380,P=0.042)and the flow lesion area and reduction ratio(r=-0.402,P=0.030).CONCLUSION:Macular vessel density decreases,FAZ turns smaller and more irregular in m CNV eyes.AntiVEGF therapy is efficient for m CNV without affecting vessel density and FAZ,but it is unable to completely eliminate CNV lesions in most cases.The bigger m CNV lesions have lower reduction ratio.
基金Project supported by the Fundamental Research Funds for the Central Universities of China (Grant No. JD2020JGPY0010)the China Post-doctoral Science Foundation (Grant No. 2020M671834)the Anhui Province Post-doctoral Science Foundation, China (Grant No. 2020A397)。
文摘For potential military applications, a flexible metamaterial absorber(MMA) working on whole K-bands with totalthickness of 3.367 mm, ultra-broadband, polarization-insensitive, and wide-angle stability is presented based on frequencyselective surface(FSS). The absorber is composed of polyvinyl chloride(PVC) layer, polyimide(PI) layer, and poly tetra fluoro ethylene(PTFE) layer, with a sandwich structure of PVC–PI–PTFE–metal plate. Periodic conductive patterns play a crucial role in the absorber, and in traditional, it is designed on the upper surface of PI layer to form LC resonance. Different from commonly absorber, all the patterns are located on the lower surface of the PI layer in this work, and hence the impedance matching and absorptivity are improved in this purposed absorber. The flexible absorber with patterns on lower surface of the PI layer is compared with that on upper surface of the PI layer, the difference and the reasons are explained by absorption mechanism based on equivalent circuit model, and surface current density and electric field distribution are used to analyze resonance peaks. Absorptivity is greater than 90% in a frequency range of 10.47 GHz–45.44 GHz with relative bandwidth of 125.1%, covering the whole Ku, K, Ka, and some of X, U bands, especially containing the whole K bands from 12 GHz to 40 GHz. Radar cross section(RCS) is reduced at least 10 dB in 11.48 GHz–43.87 GHz frequency ranges,and absorption remained about 90% when the incident angle changed from 0°to 55°. The purposed absorber is fabricated,measured, and experiment results show good agreement with theoretical analysis and numerical simulation. After bonded on outer surface of different cylinders with diameters of 200 mm and 100 mm, the absorption of MMA is approximately reduced 10% and 20% respectively, which shows good conformal character with surface of various curvatures. Due to the attractive performance on strong absorption in the whole K-bands, flexible and easy conformal, our design exhibits broad potential application in radar stealth and sensors.
基金Supported by National Natural Science Foundation of China(No.81700884)Scientific Research Foundation of National Health and Health Commission(No.WKJ-ZJ-2037)+1 种基金Zhejiang Public Welfare Technology Application Project(No.LGF21H120005)Science and Technology Project of Wenzhou(No.Y20190649).
文摘AIM:To evaluate scleral buckling(SB)surgery using a noncontact wide-field viewing system and 23-gauge intraocular illumination for the treatment of rhegmatogenous retinal detachment in silicone oil(SO)-filled eyes.METHODS:Totally 9 patients(9 eyes)with retinal detachment in SO-filled eyes were retrospectively analyzed.All patients underwent non-contact wide-field viewing system-assisted buckling surgery with 23-gauge intraocular illumination.SO was removed at an appropriate time based on recovery.The patients were followed up for at least 3mo after SO removal.Retinal reattachment,complications,visual acuity and intraocular pressure(IOP)before and after surgery were observed.RESULTS:Patients were followed up for a mean of 8.22mo(3-22mo)after SO removal.All patients had retinal reattachment.At the final follow-up,visual acuity showed improvement for 8 patients,and no change for 1 patient.The IOP was high in 3 patients before surgery,but it stabilized after treatment;it was not affected in the other patients.None of the patients had infections,hemorrhage,anterior ischemia,or any other complication.CONCLUSION:This new non-contact wide-field viewing system-assisted SB surgery with 23-gauge intraocular illumination is effective and safe for retinal detachment in SO-filled eyes.
