ABSTRACT
@#AIM: To investigate and analyze the safety and clinical efficacy vitrectomy combined with scleral buckling in treatment of rhegmatogenous retinal detachment associated with choroidal detachment.<p>METHODS: Totally 19 patients(19 eyes)of rhegmatogenous retinal detachment associated with choroidal detachment treated by vitrectomy combined with scleral buckling in our hospital from January 2014 to September 2017 were retrospective analyzed. Silicone oil was removed from the vitreous cavity 3 to 12mo after operation. Retinal reattachment rate, intraocular pressure(IOP), visual acuity recovery and complications were observed.<p>RESULTS:The IOP in vitreous cavity filled with silicone oil at 3mo after operation(16.09±3.58mmHg)and 6mo after silicone oil removal(14.69±3.10mmHg)were higher than those before operation(6.78±1.90mmHg)(all <i>P</i><0.05). Six months after silicone oil removal, the visual acuity of 15 eyes was improved. No complications of low IOP and atrophy occurred after operation.<p>CONCLUSION: Vitrectomy combined with scleral buckling is relatively safe and effective in treatment of rhegmatogenous retinal detachment associated with choroidal detachment, with high retinal reattachment rate, fewer complications and low reoperation rate.
ABSTRACT
@#AIM: To investigate the causes and effective diagnosis and treatment of Descemet's membrane detachment in the patients received phacoemulsification combined with intraocular lens implantation and extracapsular cataract extraction combined with intraocular lens implantation. <p>METHODS: A retrospective analysis was applied for 2 069 eyes in 2006 patients which had received one of above-mentioned surgeries from January 2015 to December 2017. The treatment and prognosis of 26 patients(26 eyes)who had the complication of Descemet's membrane detachment during or after the surgery were observed. <p>RESULTS:After the appropriate treatment, no corneal endothelial decompensation happened in the 26 patients, and the visual acuity was improved to different extent. UBM confirmed that the Descemet's membrane was reset. <p>CONCLUSION: Early detection and appropriate treatment of Descemet's membrane detachment is important for the visual acuity recovery.