Scleral Buckling with Viscoelastics or Gas Injection for Bulging Retinal Detachments: A Retrospective Cohort Study
Objective. To examine the use of a viscoelastic agent instead of air in the vitreous cavity during surgery for scleral buckling. Methods. This was a retrospective cohort study of patients who underwent scleral buckling surgery for bulging rhegmatogenous retinal detachment (RRD) at Ningbo Eye Hospita...
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| Format: | Article |
| Language: | English |
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Wiley
2021-01-01
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| Series: | Journal of Ophthalmology |
| Online Access: | http://dx.doi.org/10.1155/2021/6694199 |
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| author | Quan-Yong Yi Wen-Die Li Qian Gui Sang-Sang Wang Li-Shuang Chen Jing-Hai Mao Yan Gong Xia-Jun Wang |
| author_facet | Quan-Yong Yi Wen-Die Li Qian Gui Sang-Sang Wang Li-Shuang Chen Jing-Hai Mao Yan Gong Xia-Jun Wang |
| author_sort | Quan-Yong Yi |
| collection | DOAJ |
| description | Objective. To examine the use of a viscoelastic agent instead of air in the vitreous cavity during surgery for scleral buckling. Methods. This was a retrospective cohort study of patients who underwent scleral buckling surgery for bulging rhegmatogenous retinal detachment (RRD) at Ningbo Eye Hospital from 07/2016 to 12/2019. The patients were grouped into drainage, air injection, cryotherapy and explant (DACE) and drainage, viscoelastic injection, cryotherapy, and explant (DVCE) groups, which were comparatively assessed. Results. There were 25 and 22 patients in the DVCE and DACE groups, respectively. The surgery was significantly shorter with DVCE than DACE (P<0.05), with less intraoperative external pressure adjustment (P<0.05). BCVA was lower in the DVCE group at 1 week compared with the DACE group (P<0.05). Successful retinal reattachment was observed in 92.0% and 81.8% of the DVCE and DACE groups, respectively (P<0.05). Cases requiring laser replenishing after the operation were less in the DVCE group compared with the DACE group (P<0.05). There were no differences in complications and intraocular pressure between the two groups (all P<0.05). Conclusion. DVCE has better operative characteristics and faster vision recovery than DACE, with similar outcomes. |
| format | Article |
| id | doaj-art-026bde24e4cc4f059ed638d4325b3c18 |
| institution | OA Journals |
| issn | 2090-004X 2090-0058 |
| language | English |
| publishDate | 2021-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Ophthalmology |
| spelling | doaj-art-026bde24e4cc4f059ed638d4325b3c182025-08-20T02:01:49ZengWileyJournal of Ophthalmology2090-004X2090-00582021-01-01202110.1155/2021/66941996694199Scleral Buckling with Viscoelastics or Gas Injection for Bulging Retinal Detachments: A Retrospective Cohort StudyQuan-Yong Yi0Wen-Die Li1Qian Gui2Sang-Sang Wang3Li-Shuang Chen4Jing-Hai Mao5Yan Gong6Xia-Jun Wang7Ningbo Eye Hospital, Ningbo, ChinaNingbo Eye Hospital, Ningbo, ChinaNingbo Eye Hospital, Ningbo, ChinaNingbo Eye Hospital, Ningbo, ChinaNingbo Eye Hospital, Ningbo, ChinaNingbo Eye Hospital, Ningbo, ChinaNingbo Eye Hospital, Ningbo, ChinaNingbo Eye Hospital, Ningbo, ChinaObjective. To examine the use of a viscoelastic agent instead of air in the vitreous cavity during surgery for scleral buckling. Methods. This was a retrospective cohort study of patients who underwent scleral buckling surgery for bulging rhegmatogenous retinal detachment (RRD) at Ningbo Eye Hospital from 07/2016 to 12/2019. The patients were grouped into drainage, air injection, cryotherapy and explant (DACE) and drainage, viscoelastic injection, cryotherapy, and explant (DVCE) groups, which were comparatively assessed. Results. There were 25 and 22 patients in the DVCE and DACE groups, respectively. The surgery was significantly shorter with DVCE than DACE (P<0.05), with less intraoperative external pressure adjustment (P<0.05). BCVA was lower in the DVCE group at 1 week compared with the DACE group (P<0.05). Successful retinal reattachment was observed in 92.0% and 81.8% of the DVCE and DACE groups, respectively (P<0.05). Cases requiring laser replenishing after the operation were less in the DVCE group compared with the DACE group (P<0.05). There were no differences in complications and intraocular pressure between the two groups (all P<0.05). Conclusion. DVCE has better operative characteristics and faster vision recovery than DACE, with similar outcomes.http://dx.doi.org/10.1155/2021/6694199 |
| spellingShingle | Quan-Yong Yi Wen-Die Li Qian Gui Sang-Sang Wang Li-Shuang Chen Jing-Hai Mao Yan Gong Xia-Jun Wang Scleral Buckling with Viscoelastics or Gas Injection for Bulging Retinal Detachments: A Retrospective Cohort Study Journal of Ophthalmology |
| title | Scleral Buckling with Viscoelastics or Gas Injection for Bulging Retinal Detachments: A Retrospective Cohort Study |
| title_full | Scleral Buckling with Viscoelastics or Gas Injection for Bulging Retinal Detachments: A Retrospective Cohort Study |
| title_fullStr | Scleral Buckling with Viscoelastics or Gas Injection for Bulging Retinal Detachments: A Retrospective Cohort Study |
| title_full_unstemmed | Scleral Buckling with Viscoelastics or Gas Injection for Bulging Retinal Detachments: A Retrospective Cohort Study |
| title_short | Scleral Buckling with Viscoelastics or Gas Injection for Bulging Retinal Detachments: A Retrospective Cohort Study |
| title_sort | scleral buckling with viscoelastics or gas injection for bulging retinal detachments a retrospective cohort study |
| url | http://dx.doi.org/10.1155/2021/6694199 |
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