Comparative study on the treatment of rhegmatogenous retinal detachment between foldable capsular body and scleral buckling

AIM: To compare the effectiveness and complications of treating rhegmatogenous retinal detachment(RRD)with foldable capsule body(FCB)and scleral buckling(SB).METHODS: The clinical data of 81 patients(82 eyes)with RRD who underwent surgery at our hospital from March 2019 to April 2022 were retrospect...

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Main Authors: Ning Zhang, Bai-Ke Zhang, Yong Jia, Li-Sha Guo, Chun-Lei Wang, Xiang-Yang Zhang, Ji-Wei Feng, Xue-Min Tian
Format: Article
Language:English
Published: Press of International Journal of Ophthalmology (IJO PRESS) 2023-05-01
Series:Guoji Yanke Zazhi
Subjects:
Online Access:http://ies.ijo.cn/cn_publish/2023/5/202305019.pdf
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author Ning Zhang
Bai-Ke Zhang
Yong Jia
Li-Sha Guo
Chun-Lei Wang
Xiang-Yang Zhang
Ji-Wei Feng
Xue-Min Tian
author_facet Ning Zhang
Bai-Ke Zhang
Yong Jia
Li-Sha Guo
Chun-Lei Wang
Xiang-Yang Zhang
Ji-Wei Feng
Xue-Min Tian
author_sort Ning Zhang
collection DOAJ
description AIM: To compare the effectiveness and complications of treating rhegmatogenous retinal detachment(RRD)with foldable capsule body(FCB)and scleral buckling(SB).METHODS: The clinical data of 81 patients(82 eyes)with RRD who underwent surgery at our hospital from March 2019 to April 2022 were retrospectively analyzed. The differences in retinal reattachment rate, best-corrected visual acuity, the absorption of subretinal fluid, postoperative discomfort and incidence of complications between the two treatments were compared.RESULTS: The retinal reattachment rate was 96% in the FCB group and 92% in the SB group, with no significant difference between the two groups(P>0.05). The best corrected visual acuity of the affected macular eyes was different in the both groups(P<0.01). Both groups effectively promoted the absorption of subretinal fluid. The operation time of FCB group was 16.50(12.75, 25.00)min, while it was 38.00(36.25, 41.75)min in the SB group(P<0.001). Patients in the FCB group also had significantly lower eyelid swelling and pain symptoms than those in the SB group(P<0.001). The visual analogue scale(VAS)score at 1d after operation was 1.00(0.00, 2.00)in the FCB group and 3.00(2.00, 3.00)in the SB group(P<0.001).CONCLUSION: FCB is a safe and effective surgical method to treat RRD that can alleviate patient's pain. Furthermore, FCB has a significantly shorter operation time and milder postoperative adverse reactions than SB.
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spelling doaj.art-84dc7a37b9774aa2a4c7ef77dd94ce372023-04-28T06:27:01ZengPress of International Journal of Ophthalmology (IJO PRESS)Guoji Yanke Zazhi1672-51232023-05-0123581381710.3980/j.issn.1672-5123.2023.5.19202305019Comparative study on the treatment of rhegmatogenous retinal detachment between foldable capsular body and scleral bucklingNing Zhang0Bai-Ke Zhang1Yong Jia2Li-Sha Guo3Chun-Lei Wang4Xiang-Yang Zhang5Ji-Wei Feng6Xue-Min Tian7Xinxiang Medical College, Xinxiang 453000, Henan Province, China; Department of Ophthalmology, the 988th Hospital of Joint Logistic Support Force of the People's Liberation Army, Zhengzhou 450000, Henan Province, ChinaDepartment of Ophthalmology, the 988th Hospital of Joint Logistic Support Force of the People's Liberation Army, Zhengzhou 450000, Henan Province, ChinaDepartment of Ophthalmology, the 988th Hospital of Joint Logistic Support Force of the People's Liberation Army, Zhengzhou 450000, Henan Province, ChinaDepartment of Ophthalmology, the 988th Hospital of Joint Logistic Support Force of the People's Liberation Army, Zhengzhou 450000, Henan Province, ChinaDepartment of Ophthalmology, the 988th Hospital of Joint Logistic Support Force of the People's Liberation Army, Zhengzhou 450000, Henan Province, ChinaDepartment of Ophthalmology, the 988th Hospital of Joint Logistic Support Force of the People's Liberation Army, Zhengzhou 450000, Henan Province, ChinaDepartment of Ophthalmology, the 988th Hospital of Joint Logistic Support Force of the People's Liberation Army, Zhengzhou 450000, Henan Province, ChinaDepartment of Ophthalmology, the 988th Hospital of Joint Logistic Support Force of the People's Liberation Army, Zhengzhou 450000, Henan Province, ChinaAIM: To compare the effectiveness and complications of treating rhegmatogenous retinal detachment(RRD)with foldable capsule body(FCB)and scleral buckling(SB).METHODS: The clinical data of 81 patients(82 eyes)with RRD who underwent surgery at our hospital from March 2019 to April 2022 were retrospectively analyzed. The differences in retinal reattachment rate, best-corrected visual acuity, the absorption of subretinal fluid, postoperative discomfort and incidence of complications between the two treatments were compared.RESULTS: The retinal reattachment rate was 96% in the FCB group and 92% in the SB group, with no significant difference between the two groups(P>0.05). The best corrected visual acuity of the affected macular eyes was different in the both groups(P<0.01). Both groups effectively promoted the absorption of subretinal fluid. The operation time of FCB group was 16.50(12.75, 25.00)min, while it was 38.00(36.25, 41.75)min in the SB group(P<0.001). Patients in the FCB group also had significantly lower eyelid swelling and pain symptoms than those in the SB group(P<0.001). The visual analogue scale(VAS)score at 1d after operation was 1.00(0.00, 2.00)in the FCB group and 3.00(2.00, 3.00)in the SB group(P<0.001).CONCLUSION: FCB is a safe and effective surgical method to treat RRD that can alleviate patient's pain. Furthermore, FCB has a significantly shorter operation time and milder postoperative adverse reactions than SB.http://ies.ijo.cn/cn_publish/2023/5/202305019.pdfrhegmatogenous retinal detachmentfoldable capsular bodyscleral buckling
spellingShingle Ning Zhang
Bai-Ke Zhang
Yong Jia
Li-Sha Guo
Chun-Lei Wang
Xiang-Yang Zhang
Ji-Wei Feng
Xue-Min Tian
Comparative study on the treatment of rhegmatogenous retinal detachment between foldable capsular body and scleral buckling
Guoji Yanke Zazhi
rhegmatogenous retinal detachment
foldable capsular body
scleral buckling
title Comparative study on the treatment of rhegmatogenous retinal detachment between foldable capsular body and scleral buckling
title_full Comparative study on the treatment of rhegmatogenous retinal detachment between foldable capsular body and scleral buckling
title_fullStr Comparative study on the treatment of rhegmatogenous retinal detachment between foldable capsular body and scleral buckling
title_full_unstemmed Comparative study on the treatment of rhegmatogenous retinal detachment between foldable capsular body and scleral buckling
title_short Comparative study on the treatment of rhegmatogenous retinal detachment between foldable capsular body and scleral buckling
title_sort comparative study on the treatment of rhegmatogenous retinal detachment between foldable capsular body and scleral buckling
topic rhegmatogenous retinal detachment
foldable capsular body
scleral buckling
url http://ies.ijo.cn/cn_publish/2023/5/202305019.pdf
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