Resultados anatómicos y funcionales de la cirugía convencional en pacientes con desprendimiento primario de retina / Anatomical and functional results of the conventional surgery in patients with primary retinal detachment

Se realizó un estudio observacional, descriptivo y prospectivo de 23 pacientes con desprendimiento primario de retina, intervenidos quirúrgicamente en el Hospital General "Dr. Juan Bruno Zayas Alfonso" desde enero hasta diciembre de 2012, a fin de describir los resultados anatómicos y funcionales de la cirugía convencional, para lo cual se utilizaron variables de interés para la investigación. Entre los hallazgos principales predominaron: el sexo masculino (73,9 %), los desprendimientos parciales con desgarros temporales superiores (73,9%), la miopía elevada como antecedente patológico personal (39,1 %), el ojo derecho como el más afectado (60,9 %), la rotura en herradura (30,4 %), fundamentalmente en los cuadrantes superiores, y las técnicas combinadas (91,3 %), por citar algunos. Con la aplicación de dichas técnicas se logró la reaplicación de la mayoría de los casos. El éxito anatómico logrado no fue siempre sinónimo de éxito funcional, aunque lo primero es condición obligada para lo segundo.

An observational, descriptive and prospective study of 23 patients with primary detached retina, undergoing surgery in "Dr. Juan Bruno Zayas Alfonso" General Hospital was carried out from January to December, 2012, in order to describe the anatomical and functional results of the conventional surgery, for which variables of interest for the investigation were used. Among the main findings, the male sex (73.9%), the partial detachment with superior temporary lacerations (73.9%), the high myopia as personal pathological history (39.1%), the right eye as the most affected (60.9%), the horseshoe rupture(30.4%), fundamentally in the superior quadrants, and the combined techniques (91.3%), to mention some, prevailed. With the use of these techniques the new implementation was achieved in most of the cases. The anatomical success achieved was not always synonym of functional success, although the first thing is was necessary for the second one.

Drainage by puncture with 25G needles for primary retinal detachment / 基础医学与临床

Objective To summarize the clinical outcome of direct trans-scleral drainage by puncture with 25G needles in the external-route surgeries for primary retinal detachment. Methods Fifty-four consecutive cases of primary retinal detachment were treated by external-route surgeries. The subretinal fluid of 23 cases was drained by direct scleral puncture with 25G needles (25GND group), the other 31 cases underwent the conventional scleral incision and drainage(CD group). Postoperative complications, the single-operation retinal reattachment rate and functional outcome were recorded.Results Subretinal fluid was adequately drained in all cases. there was no significant difference in the single-operation retinal reattachment rate between 25GND and CD groups. In comparision to CD, 25GND significantly decreased postoperative complication rate (?2=4.729,P

Comparative Analysis of Primary Retinal Detachment on Pre and Post 40 years

Authors analysed clinically two groups(group A40 years: 126 eyes) of 313 primary retinal detachment patients who have received operation and subsequent follow-up study for at least 3 months. The frequency by age was shown double peak at twenties and at fifties. Retinal dialysis and inferior temporal breaks in group A was shown more than those in group B, but superior temporal breaks was more occured in group B. The success rates of the first operation in group A were a little higher than those in group B. And in the case of successful eyes by the first operation, residual subretinal fluid were absorbed less than 1 day. Fish mouthing, glaucoma and chroidal detachment as intraoperative and postoperative complication occurred more frequently in group B. After the first operation, inadequate absorption of the subretinal fluid was more frequent in group B, recurrence of hole was more frequent in group A, but there's no statistical significance in above.