Abstract：Objective To evaluate the safety and effect of microincision vitrectomy and bio-glue in sealing retinal holes for primary rhegmatogenous retinal detachment.Methods Between June 2014 and June 2017, 21 cases of primary rhegmatogenous retinal detachment patients (21 eyes) were selected from our Department of Ophthalmology. All the 21 patients were given microinvision vitrectomy, during which bio-glue was used to seal the retinal holes. At the end of surgery, a balanced saline solution was used to fill the vitreous cavity. The glue membrane, first-time retinal reattachment rate, corrected visual acuity, intraocular pressure and intraocular inflammatory reaction and complications were observed.Results The bio-glue could adhere fast to the retina during microincision vitrectomy. The bio-glue membrane was absorbed at (13.77±5.13)days postoperatively. All the retinal holes were totally sealed after surgery. The first-time retinal reattachment rate was 100%. At 12 months after microincision vitrectomy, the corrected visual acuity was significantly improved from 0-2.32,average(0.93±0.74),to 0-2.15,average(0.79±0.62). One eye was diagnosed with epiretinal membrane after vitrectomy and was finally given membrane peeling surgery. Two eyes in two cases developed an abnormal intraocular pressure at 7 days after vitrectomy. With the use of Timolol, the pressure returned to normal. During vitrectomy and 12 months of follow-up, there was no obvious inflammation or adverse effect.Conclusions The joint application of vitrectomy and bio-glue can seal retinal holes properly without the use of gas. It can be a new alternative to rehgmatogenous retinal detachment during microincision vitrectomy.
王群,赵杰,侯宝杰. 微创玻璃体切割术联合生物胶治疗原发性孔源性视网膜脱离的疗效和安全性[J]. 武警医学, 2018, 29(12): 1155-1158.
WANG Qun, ZHAO Jie, and HOU Baojie. Safety and effect of microincision vitrectomy with bio-glues for retinal holes sealing in rhegmatogenous retinal detachment. Med. J. Chin. Peop. Armed Poli. Forc., 2018, 29(12): 1155-1158.
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