- Beijing Tongren Eye Center, Beijing Key Laboratory of Intraocular Tumor Diagnosis and Treatment, Beijing Ophthalmology&Visual Sciences Key Lab, Medical Artificial Intelligence Research and Verification Key Laboratory of the Ministry of Industry and Information Technology, Beijing Tongren Hospital, Capital Medical University, Beijing 100730, China;
Rhegmatogenous retinal detachment (RRD), the most common type of retinal detachment, is the separation of neurosensory retina from the underlying retinal pigment epithelium. The key to surgical treatment of RRD is to find and seal all retinal breaks while the major surgical procedures include scleral buckle (SB), pars plana vitrectomy (PPV), and a combination of the two (PPV/SB). Different surgical methods have their own advantages and limitations. SB plays a very important role in certain types of RRD, providing a high rate of anatomical reduction and a good prognosis of visual function. Combined PPV is also an important auxiliary means for the treatment of complicated RRD. The rapid development of vitreoretinal surgery has greatly contributed to the trend of RRD surgery from extraocular to intraocular. However, it is worth noting that personalized RRD surgical methods are needed to be provided for different patients in order to minimize the occurrence of complications.
Citation: Luo Jingting, Wei Wenbin. Progress in surgical selection and prognosis evaluation of rhegmatogenous retinal detachment. Chinese Journal of Ocular Fundus Diseases, 2022, 38(4): 325-329. doi: 10.3760/cma.j.cn511434-20210207-00072 Copy
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- 1. Ng TK, Chen W, Chen Q, et al. COL2A1 protective variant reduces sporadic rhegmatogenous retinal detachment severity[J/OL]. Exp Eye Res, 2020, 191: 107907[2019-12-31]. https://pubmed.ncbi.nlm.nih.gov/31899252/. DOI: 10.1016/j.exer.2019.107907.
- 2. Liao L, Zhu XH. Advances in the treatment of rhegmatogenous retinal detachment[J]. Int J Ophthalmol, 2019, 12(4): 660-667. DOI: 10.18240/ijo.2019.04.22.
- 3. Kreissig I. Primary retinal detachment: a review of the development of techniques for repair in the past 80 years[J]. Taiwan J Ophthalmol, 2016, 6(4): 161-169. DOI: 10.1016/j.tjo.2016.04.006.
- 4. Znaor L, Medic A, Binder S, et al. Pars plana vitrectomy versus scleral buckling for repairing simple rhegmatogenous retinal detachments[J/OL]. Cochrane Database Syst Rev, 2019, 3(3): CD009562[2019-03-08]. https://pubmed.ncbi.nlm.nih.gov/30848830/. DOI: 10.1002/14651858.CD009562.pub2.
- 5. 李青. 孔源性视网膜脱离的自行复位[J]. 国际眼科纵览, 2007, 31(6): 431.Li Q. Self-reduction of rhegmatogenous retinal detachment[J]. Int Rec Ophthalmol, 2007, 31(6): 431.
- 6. Malosse L, Rousseau H, Baumann C, et al. Prevalence and risk factors for outer retinal layer damage after macula-off retinal detachment[J]. Br J Ophthalmol, 2020, 104(5): 660-665. DOI: 10.1136/bjophthalmol-2019-314236.
- 7. Quijano C, Alkabes M, Gómez-Resa M, et al. Scleral buckling in phakic uncomplicated primary rhegmatogenous retinal detachment: long-term outcomes[J]. Eur J Ophthalmol, 2017, 27(2): 220-225. DOI: 10.5301/ejo.5000914.
- 8. Wang A, Snead MP. Scleral buckling-a brief historical overview and current indications[J]. Graefe's Arch Clin Exp Ophthalmol, 2020, 258(3): 467-478. DOI: 10.1007/s00417-019-04562-1.
- 9. Meng L, Zhao X, Zhang W, et al. The characteristics of optic disc pit maculopathy and the efficacy of vitrectomy: a systematic review and meta-analysis[J/OL]. Acta Ophthalmol, 2021, 99(7): e1176-e1189[2021-01-09]. https://pubmed.ncbi.nlm.nih.gov/33421324/. DOI: 10.1111/aos.14730.
- 10. Mason RH, Minaker SA, Marafon SB, et al. Retinal displacement following rhegmatogenous retinal detachment: a systematic review and meta-analysis[J/OL]. Surv Ophthalmol, 2022, 7: S0039-6257(22)00002-9[2022-01-07]. https://pubmed.ncbi.nlm.nih.gov/35007619/. DOI: 10.1016/j.survophthal.2022.01.002.
- 11. Kusaba K, Tsuboi K, Handa T, et al. Primary rhegmatogenous retinal detachment: evaluation of a minimally restricted face-down positioning after pars plana vitrectomy and gas tamponade[J]. Int J Ophthalmol, 2021, 14(6): 936-939. DOI: 10.18240/ijo.2021.06.21.
- 12. Arias L, Padrón-Pérez N, Flores-Moreno I, et al. Internal limiting membrane peeling versus nonpeeling to prevent epiretinal membrane development in primary rhegmatogenous retinal detachment: a swept-source optical coherence tomography study with a new postoperative classification system[J]. Retina, 2020, 40(7): 1286-1298. DOI: 10.1097/IAE.0000000000002591.
- 13. Perente I, Eriş E, Erdoğan G, et al. Secondary epiretinal membrane following rhegmatogenous retinal detachment[J/OL]. Photodiagnosis Photodyn Ther, 2020, 31: 101833[2020-05-31]. https://pubmed.ncbi.nlm.nih.gov/32492519/. DOI: 10.1016/j.pdpdt.2020.101833.
- 14. Abdullah ME, Moharram HEM, Abdelhalim AS, et al. Evaluation of primary internal limiting membrane peeling in cases with rhegmatogenous retinal detachment[J/OL]. Int J Retina Vitreous, 2020, 6: 8[2020-05-07]. https://pubmed.ncbi.nlm.nih.gov/32411388/. DOI: 10.1186/s40942-020-00213-4.
- 15. Sousa K, Calvão-Santos G, Costa J, et al. Anatomical and functional results of ILM peeling vs. non-peeling in macula-off rhegmatogenous retinal detachment[J]. Graefe's Arch Clin Exp Ophthalmol, 2020, 258(10): 2105-2110. DOI: 10.1007/s00417-020-04775-9.
- 16. Fallico M, Russo A, Longo A, et al. Internal limiting membrane peeling versus no peeling during primary vitrectomy for rhegmatogenous retinal detachment: a systematic review and meta-analysis[J/OL]. PLoS One, 2018, 3(7): e0201010[2018-07-19]. https://pubmed.ncbi.nlm.nih.gov/30024983/. DOI: 10.1371/journal.pone.0201010.
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