孔源性视网膜脱离复位手术后持续性视网膜下液的研究进展_Chinese Journal of Ocular Fundus Diseases

Authors：

罗晓红 , 麦小婷 ,  陈浩宇

515041 汕头大学·香港中文大学联合汕头国际眼科中心;

Corresponding author：

陈浩宇, Email: drchenhaoyu@gmail.com

Keywords：

视网膜脱离/外科学; 视网膜下液; 综述

DOI：

10.3760/cma.j.issn.1005-1015.2014.04.026

Video：

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持续性视网膜下液(PSF)是影响孔源性视网膜脱离(RRD)复位手术后视力恢复的原因之一。光相干断层扫描检查发现, RRD复位手术后部分患者持续存在视网膜下液。PSF发生和存在的机制尚未明了, 可能与手术眼血流动力学改变、视网膜色素上皮泵功能降低、炎症渗出等有关。临床观察发现, PSF常见于年轻患者; 行巩膜扣带手术患者的PSF发生率较行玻璃体切割手术患者高。大多数PSF数月内可以自行吸收, 也可以持续超过1年。玻璃体腔注气、激光光凝、糖皮质激素治疗可促进PSF的吸收。进一步研究PSF发病机制、预防和治疗方法, 有助于改善RRD患者手术后视力, 提高其治疗效果。

Citation： 罗晓红, 麦小婷, 陈浩宇. 孔源性视网膜脱离复位手术后持续性视网膜下液的研究进展. Chinese Journal of Ocular Fundus Diseases, 2014, 30(4): 419-421. doi: 10.3760/cma.j.issn.1005-1015.2014.04.026 Copy

1.	Lobes LA Jr, Grand MG. Subretinal lesions following scleral buckling procedure[J]. Arch Ophthalmol, 1980, 98:680-683.
2.	Kaga T, Fonseca RA, Dantas MA, et al. Optical coherence tomography of bleb-like subretinal lesions after retinal reattachment surgery[J]. Am J Ophthalmol, 2001, 132:120-121.
3.	Negi A, Marmor MF. The resorption of subretinal fluid after diffuse damage to the retinal pigment epithelium[J]. Invest Ophthalmol Vis Sci, 1983, 24:1475-1479.
4.	Baba T, Hirose A, Moriyama M, et al. Tomographic image and visual recovery of acute macula-off rhegmatogenous retinal detachment[J]. Graefe's Arch Clin Exp Ophthalmol, 2004, 242:576-581.
5.	Wolfensberger TJ. Foveal reattachment after macula-off retinal detachment occurs faster after vitrectomy than after buckle surgery[J]. Ophthalmology, 2004, 111:1340-1343.
6.	Koriyama M, Nishimura T, Matsubara T, et al. Prospective study comparing the effectiveness of scleral buckling to vitreous surgery for rhegmatogenous retinal detachment[J]. Jpn J Ophthalmol, 2007, 51:360-367.
7.	Benson SE, Schlottmann PG, Bunce C, et al. Optical coherence tomography analysis of the macula after scleral buckle surgery for retinal detachment[J]. Ophthalmology, 2007, 114:108-112.
8.	Smith AJ, Telander DG, Zawadzki RJ, et al. High-resolution Fourier-domain optical coherence tomography and microperimetric findings after macula-off retinal detachment repair[J]. Ophthalmology, 2008, 115:1923-1929.
9.	Wang XY, Shen LP, Hu RR, et al. Persistent subretinal fluid after successful scleral buckle surgery for macula-off retinal detachment[J]. Chin Med J (Engl), 2011, 124:4007-4011.
10.	Ricker LJ, Noordzij LJ, Goezinne F, et al. Persistent subfoveal fluid and increased preoperative foveal thickness impair visual outcome after macula-off retinal detachment repair[J]. Retina, 2011, 31:1505-1512.
11.	Panozzo G, Parolini B, Mercanti A. OCT in the monitoring of visual recovery after uneventful retinal detachment surgery[J]. Semin Ophthalmol, 2003, 18:82-84.
12.	Sugawara R, Nagaoka T, Kitaya N, et al. Choroidal blood flow in the foveal region in eyes with rhegmatogenous retinal detachment and scleral buckling procedures[J]. Br J Ophthalmol, 2006, 90:1363-1365.
13.	Regillo CD, Sergott RC, Brown GC. Successful scleral buckling procedures decrease central retinal artery blood flow velocity[J]. Ophthalmology, 1993, 100:1044-1049.
14.	Wolfensberger TJ, Gonvers M. Optical coherence tomography in the evaluation of incomplete visual acuity recovery after macula-off retinal detachments[J]. Graefe's Arch Clin Exp Ophthalmol, 2002, 240:85-89.
15.	Singh R, Gupta V, Gupta A. Delayed foveal reattachment in scleral buckle surgery for inferior retinal detachment[J]. Ann Ophthalmol (Skokie), 2006, 38:225-230.
16.	Pederson JE, MacLellan HM. Experimental retinal detachment: Ⅰ. Effect of subretinal fluid composition on reabsorption rate and intraocular pressure[J]. Arch Ophthalmol, 1982, 100:1150-1154.
17.	Woo SJ, Lee KM, Chung H, et al. Photoreceptor disruption related to persistent submacular fluid after successful scleral buckle surgery[J]. Korean J Ophthalmol, 2011, 25:380-386.
18.	Abouzeid H, Becker K, Holz FG, et al. Submacular fluid after encircling buckle surgery for inferior macula-off retinal detachment in young patients[J]. Acta Ophthalmol, 2009, 87:96-99.
19.	Zacks DN, Han Y, Zeng Y, et al. Activation of signaling pathways and stress-response genes in an experimental model of retinal detachment[J]. Invest Ophthalmol Vis Sci, 2006, 47:1691-1695.
20.	Hagimura N, Iida T, Suto K, et al. Persistent foveal retinal detachment after successful rhegmatogenous retinal detachment surgery[J]. Am J Ophthalmol, 2002, 133:516-520.
21.	孟自军, 高永峰, 王艳婷.孔源性视网膜脱离术后持续性黄斑下积液的相干光断层扫描观察与分析[J].中华眼科杂志, 2013, 49:1075-1080.
22.	Atmaca-Sonmez P, Johnson MW, Zacks DN. Persistent detachment of the fovea after non-buckling repair of rhegmatogenous retinal detachment[J]. Br J Ophthalmol, 2006, 90:920-921.
23.	Benson SE, Schlottmann PG, Bunce C, et al. Optical coherence tomography analysis of the macula after vitrectomy surgery for retinal detachment[J]. Ophthalmology, 2006, 113:1179-1183.
24.	Kang SW, Kim JH, Shin WJ, et al. Subretinal fluid bleb after successful scleral buckling and cryotherapy for retinal detachment[J]. Am J Ophthalmol, 2008, 146:205-210.
25.	Veckeneer M, Derycke L, Lindstedt EW, et al. Persistent subretinal fluid after surgery for rhegmatogenous retinal detachment: hypothesis and review[J]. Graefe's Arch Clin Exp Ophthalmol, 2012, 250:795-802.
26.	Maia OO Jr, Takahashi WY, Chizzotti Bonanomi MT, et al. Rhegmatogenous retinal detachment: a postoperative study of the macula[J]. Arq Bras Oftalmol, 2007, 70:996-1000.
27.	Gibran SK, Alwitry A, Cleary PE. Foveal detachment after successful retinal reattachment for macula on rhegmatogeneous retinal detachment: an ocular coherence tomography evaluation[J]. Eye (Lond), 2006, 20:1284-1287.
28.	Lecleire-Collet A, Muraine M, Menard JF, et al. Predictive visual outcome after macula-off retinal detachment surgery using optical coherence tomography[J]. Retina, 2005, 25:44-53.
29.	Rossetti A, Doro D, Manfrè A, et al. Long-term follow-up with optical coherence tomography and microperimetry in eyes with metamorphopsia after macula-off retinal detachment repair[J]. Eye (Lond), 2010, 24:1808-1813.
30.	Fisher SK, Lewis GP. Müller cell and neuronal remodeling in retinal detachment and reattachment and their potential consequences for visual recovery: a review and reconsideration of recent data[J]. Vision Res, 2003, 43:887-897.
31.	Okamoto F, Sugiura Y, Okamoto Y, et al. Metamorphopsia and optical coherence tomography findings after rhegmatogenous retinal detachment surgery[J]. Am J Ophthalmol, 2014, 157:214-220.
32.	Baba T, Mizuno S, Tatsumi T, et al. Outer retinal thickness and retinal sensitivity in macula-off rhegmatogenous retinal detachment after successful reattachment[J]. Eur J Ophthalmol, 2012, 22:1032-1038.
33.	Itakura H, Kishi S. Intravitreal injection of 0.3 ml of SF₆ gas for persistent subfoveal fluid after scleral buckling for rhegmatogenous retinal detachment[J]. Graefe's Arch Clin Exp Ophthalmol, 2009, 247:1147-1150.
34.	Koinzer S, Elsner H, Klatt C, et al. Selective retina therapy (SRT) of chronic subfoveal fluid after surgery of rhegmatogenous retinal detachment: three case reports[J]. Graefe's Arch Clin Exp Ophthalmol, 2008, 246:1373-1378.
35.	Wu JS, Lin CJ, Hwang JF, et al. Influence of systemic steroids on subretinal fluid after scleral buckle surgery for macula-off retinal detachment[J]. Retina, 2011, 31:99-104.

1. Lobes LA Jr, Grand MG. Subretinal lesions following scleral buckling procedure[J]. Arch Ophthalmol, 1980, 98:680-683.
2. Kaga T, Fonseca RA, Dantas MA, et al. Optical coherence tomography of bleb-like subretinal lesions after retinal reattachment surgery[J]. Am J Ophthalmol, 2001, 132:120-121.
3. Negi A, Marmor MF. The resorption of subretinal fluid after diffuse damage to the retinal pigment epithelium[J]. Invest Ophthalmol Vis Sci, 1983, 24:1475-1479.
4. Baba T, Hirose A, Moriyama M, et al. Tomographic image and visual recovery of acute macula-off rhegmatogenous retinal detachment[J]. Graefe's Arch Clin Exp Ophthalmol, 2004, 242:576-581.
5. Wolfensberger TJ. Foveal reattachment after macula-off retinal detachment occurs faster after vitrectomy than after buckle surgery[J]. Ophthalmology, 2004, 111:1340-1343.
6. Koriyama M, Nishimura T, Matsubara T, et al. Prospective study comparing the effectiveness of scleral buckling to vitreous surgery for rhegmatogenous retinal detachment[J]. Jpn J Ophthalmol, 2007, 51:360-367.
7. Benson SE, Schlottmann PG, Bunce C, et al. Optical coherence tomography analysis of the macula after scleral buckle surgery for retinal detachment[J]. Ophthalmology, 2007, 114:108-112.
8. Smith AJ, Telander DG, Zawadzki RJ, et al. High-resolution Fourier-domain optical coherence tomography and microperimetric findings after macula-off retinal detachment repair[J]. Ophthalmology, 2008, 115:1923-1929.
9. Wang XY, Shen LP, Hu RR, et al. Persistent subretinal fluid after successful scleral buckle surgery for macula-off retinal detachment[J]. Chin Med J (Engl), 2011, 124:4007-4011.
10. Ricker LJ, Noordzij LJ, Goezinne F, et al. Persistent subfoveal fluid and increased preoperative foveal thickness impair visual outcome after macula-off retinal detachment repair[J]. Retina, 2011, 31:1505-1512.
11. Panozzo G, Parolini B, Mercanti A. OCT in the monitoring of visual recovery after uneventful retinal detachment surgery[J]. Semin Ophthalmol, 2003, 18:82-84.
12. Sugawara R, Nagaoka T, Kitaya N, et al. Choroidal blood flow in the foveal region in eyes with rhegmatogenous retinal detachment and scleral buckling procedures[J]. Br J Ophthalmol, 2006, 90:1363-1365.
13. Regillo CD, Sergott RC, Brown GC. Successful scleral buckling procedures decrease central retinal artery blood flow velocity[J]. Ophthalmology, 1993, 100:1044-1049.
14. Wolfensberger TJ, Gonvers M. Optical coherence tomography in the evaluation of incomplete visual acuity recovery after macula-off retinal detachments[J]. Graefe's Arch Clin Exp Ophthalmol, 2002, 240:85-89.
15. Singh R, Gupta V, Gupta A. Delayed foveal reattachment in scleral buckle surgery for inferior retinal detachment[J]. Ann Ophthalmol (Skokie), 2006, 38:225-230.
16. Pederson JE, MacLellan HM. Experimental retinal detachment: Ⅰ. Effect of subretinal fluid composition on reabsorption rate and intraocular pressure[J]. Arch Ophthalmol, 1982, 100:1150-1154.
17. Woo SJ, Lee KM, Chung H, et al. Photoreceptor disruption related to persistent submacular fluid after successful scleral buckle surgery[J]. Korean J Ophthalmol, 2011, 25:380-386.
18. Abouzeid H, Becker K, Holz FG, et al. Submacular fluid after encircling buckle surgery for inferior macula-off retinal detachment in young patients[J]. Acta Ophthalmol, 2009, 87:96-99.
19. Zacks DN, Han Y, Zeng Y, et al. Activation of signaling pathways and stress-response genes in an experimental model of retinal detachment[J]. Invest Ophthalmol Vis Sci, 2006, 47:1691-1695.
20. Hagimura N, Iida T, Suto K, et al. Persistent foveal retinal detachment after successful rhegmatogenous retinal detachment surgery[J]. Am J Ophthalmol, 2002, 133:516-520.
21. 孟自军, 高永峰, 王艳婷.孔源性视网膜脱离术后持续性黄斑下积液的相干光断层扫描观察与分析[J].中华眼科杂志, 2013, 49:1075-1080.
22. Atmaca-Sonmez P, Johnson MW, Zacks DN. Persistent detachment of the fovea after non-buckling repair of rhegmatogenous retinal detachment[J]. Br J Ophthalmol, 2006, 90:920-921.
23. Benson SE, Schlottmann PG, Bunce C, et al. Optical coherence tomography analysis of the macula after vitrectomy surgery for retinal detachment[J]. Ophthalmology, 2006, 113:1179-1183.
24. Kang SW, Kim JH, Shin WJ, et al. Subretinal fluid bleb after successful scleral buckling and cryotherapy for retinal detachment[J]. Am J Ophthalmol, 2008, 146:205-210.
25. Veckeneer M, Derycke L, Lindstedt EW, et al. Persistent subretinal fluid after surgery for rhegmatogenous retinal detachment: hypothesis and review[J]. Graefe's Arch Clin Exp Ophthalmol, 2012, 250:795-802.
26. Maia OO Jr, Takahashi WY, Chizzotti Bonanomi MT, et al. Rhegmatogenous retinal detachment: a postoperative study of the macula[J]. Arq Bras Oftalmol, 2007, 70:996-1000.
27. Gibran SK, Alwitry A, Cleary PE. Foveal detachment after successful retinal reattachment for macula on rhegmatogeneous retinal detachment: an ocular coherence tomography evaluation[J]. Eye (Lond), 2006, 20:1284-1287.
28. Lecleire-Collet A, Muraine M, Menard JF, et al. Predictive visual outcome after macula-off retinal detachment surgery using optical coherence tomography[J]. Retina, 2005, 25:44-53.
29. Rossetti A, Doro D, Manfrè A, et al. Long-term follow-up with optical coherence tomography and microperimetry in eyes with metamorphopsia after macula-off retinal detachment repair[J]. Eye (Lond), 2010, 24:1808-1813.
30. Fisher SK, Lewis GP. Müller cell and neuronal remodeling in retinal detachment and reattachment and their potential consequences for visual recovery: a review and reconsideration of recent data[J]. Vision Res, 2003, 43:887-897.
31. Okamoto F, Sugiura Y, Okamoto Y, et al. Metamorphopsia and optical coherence tomography findings after rhegmatogenous retinal detachment surgery[J]. Am J Ophthalmol, 2014, 157:214-220.
32. Baba T, Mizuno S, Tatsumi T, et al. Outer retinal thickness and retinal sensitivity in macula-off rhegmatogenous retinal detachment after successful reattachment[J]. Eur J Ophthalmol, 2012, 22:1032-1038.
33. Itakura H, Kishi S. Intravitreal injection of 0.3 ml of SF₆ gas for persistent subfoveal fluid after scleral buckling for rhegmatogenous retinal detachment[J]. Graefe's Arch Clin Exp Ophthalmol, 2009, 247:1147-1150.
34. Koinzer S, Elsner H, Klatt C, et al. Selective retina therapy (SRT) of chronic subfoveal fluid after surgery of rhegmatogenous retinal detachment: three case reports[J]. Graefe's Arch Clin Exp Ophthalmol, 2008, 246:1373-1378.
35. Wu JS, Lin CJ, Hwang JF, et al. Influence of systemic steroids on subretinal fluid after scleral buckle surgery for macula-off retinal detachment[J]. Retina, 2011, 31:99-104.

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孔源性视网膜脱离复位手术后持续性视网膜下液的研究进展

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