|本期目录/Table of Contents|

[1]任新军,郑传珍 综 述,李筱荣 审 校.微创玻璃体切除术临床应用进展[J].天津医科大学学报,2019,25(04):426-429.
点击复制

微创玻璃体切除术临床应用进展(PDF)
分享到:

《天津医科大学学报》[ISSN:1006-8147/CN:12-1259/R]

卷:
25卷
期数:
2019年04期
页码:
426-429
栏目:
综述
出版日期:
2019-07-20

文章信息/Info

Title:
-
文章编号:
1006-8147(2019)04-0426-04
作者:
任新军郑传珍 综 述李筱荣 审 校
(天津医科大学眼科医院玻璃体视网膜眼外伤科,天津医科大学眼科研究所,天津300384)
Author(s):
-
关键词:
微创玻璃体切除术优缺点适应症
Keywords:
-
分类号:
R779.62
DOI:
-
文献标志码:
A
摘要:
目的:微创玻璃体切割术是目前玻璃体视网膜疾病的主要手术方式,约有 10余年历史,与传统的 20G 经睫状体平坦部玻璃体切割术相比,微创玻璃体切割术不仅缩小了巩膜切口,而且大大简化了手术程序,缩短了手术时间,减少了手术并发症的发生。因此,在过去10余年时间里,本着“越小越好”的原则,越来越多的眼科医生由传统的 20G 玻璃体切割术逐渐转向 25G、23G 微创玻璃体切割术。然而,随着微创玻璃体切割术的普及,无缝线巩膜切口的相关并发症也随之增多,如术后低眼压、眼内炎等。这也促使眼科学者开始研究新一代玻璃体切割手术系统。得益于不断更新换代的高速玻切机、高通量的照明光源、更精细的制造技术和清晰广角镜的发展,日本学者Oshima于 2010 年正式推出了27G 玻璃体切割系统。27G 玻璃体切割术较之前的微创玻璃体切割术切口更小,切割速率更高,带给眼底外科医生全新的体验和广泛选择,有着广阔的应用前景。目前 27G 甚至更细的玻璃体切割术尚处在继续革新之中,其优缺点、适应证及未来发展也逐渐成为大家关注讨论的焦点。本文将对微创玻璃体切割系统进行简要的综述。
Abstract:
-

参考文献/References:


[1] O’Malley C, Heintz R M. Vitrectomy via the pars plana-a new instrument system[J]. Trans Pac Coast Otoophthalmol Soc Annu Meet, 1972, 53:121
[2] Kreiger A E. Wound complications in pars planavitrectomy[J]. Retina, 1993, 13(4):335
[3] Thompson J T. Advantages and limitations of small gauge vitrectomy[J].Surv Ophthalmol, 2011, 56(2):162
[4] Fujii G Y, De Juan E, Humayun M S, et al. A new 25-gauge instrument system for transconjunctival sutureless vitrectomy surgery[J]. Ophthalmology, 2002, 109(10):1807
[5] Guthrie G, Magill H, Steel D H. 23-gauge versus 25-gauge vitrectomy for proliferative diabetic retinopathy:a comparison of surgical outcomes[J]. Ophthalmologica, 2015, 233(2):104
[6] Sato T, Emi K, Bando H, et al. Faster recovery after 25-gauge microincisionvitrectomy surgery than after 20-gauge vitrectomy in patients with proliferative diabetic retinopathy[J]. Clin Ophthalmol, 2012, 6:1925
[7] Yang S J, Yoon S Y, Kim J G, et al. Transconjunctival sutureless vitrectomy for the treatment of vitreoretinal complications in patients with diabetes mellitus[J]. Ophthalmic Surg Lasers Imaging, 2009, 40(5):461
[8] Okamoto F, Okamoto C, Sakata N, et al. Changes in corneal topography after 25-gauge transconjunctival sutureless vitrectomy versus after 20-gauge standard vitrectomy[J]. Ophthalmology, 2007, 114(12):2138
[9] Neuhann I M, Hilgers R D, Bartz-Schmidt K U. Intraoperative retinal break formation in 23-/25-Gauge vitrectomy versus 20-Gauge vitrectomy[J]. Ophthalmologica, 2013, 229(1):50
[10] Scartozzi R, Bessa A S, Gupta O P, et al. Intraoperative sclerotomy-related retinal breaks for macular surgery,20-vs 25-gauge vitrectomy systems[J]. Am J Ophthalmol, 2007, 143(1):155
[11] Lakhanpal R R, Humayun M S, De Juan E, et al. Outcomes of 140 consecutive cases of 25-gauge transconjunctival surgery for posterior segment disease[J]. Ophthalmology, 2005, 112(5):817
[12] Inoue M, Noda K, Ishida S, et al. Intraoperative breakage of a 25-gauge vitreous cutter[J].Am J Ophthalmol, 2004, 138(5):867
[13] Appenzeller M F, Petersen M R, Foster R E, et al. Intraoperative mechanical failure of a 25-gauge vitreous cutter[J].Retin Cases Brief Rep, 2010, 4(3):274
[14] Ibarra M S, Hermel M, Prenner J L, et al. Longer-term outcomes of transconjunctival sutureless 25-gauge vitrectomy[J]. Am J Ophthalmol, 2005, 139(5):831
[15] Eckardt C. Transconjunctival sutureless 23-gauge vitrectomy[J]. Retina, 2005, 25(2):208.
[16] Chieh J J, Rogers A H, Wiegand T W, et al. Short-term safety of 23-gauge single-step transconjunctival vitrectomy surgery[J].Retina, 2009, 29(10):1486
[17] Gupta O P, Ho A C, Kaiser P K, et al. Short-term outcomes of 23-gauge pars planavitrectomy[J].Am J Ophthalmol, 2008, 146(2):193
[18] Acar N, Kapran Z, Unver Y B, et al. Early postoperative hypotony after 25-gauge suturelessvitrectomy with straight incisions[J]. Retina, 2008, 28(4):545
[19] Byeon S H, Lew Y J, Kim M, et al. Wound leakage and hypotony after 25-gauge suturelessvitrectomy: factors affecting postoperative intraocular pressure[J]. Ophthalmic Surg Lasers Imaging, 2008, 39(2):94
[20] Hsu J, Chen E, Gupta O, et al. Hypotony after 25-gauge vitrectomy using oblique versus direct cannula insertions in fluid-filled eyes[J].Retina, 2008, 28(7):937
[21] Schadlu R, Shah G K. Early postoperative intraocular pressure after 23-gauge sutureless small-incision pars planavitrectomy[J]. Retina, 2009, 29(7):1043
[22] Lopez G L, Pareja E J, Teus G A. Oblique sclerotomy technique for prevention of incompetent wound closure in transconjunctival 25-gauge vitrectomy[J]. Am J Ophthalmol, 2006,141(6):1154
[23] De Preobrajensky N, Mrejen S, Adam R, et al. 23-gauge transconjunctival sutureless vitrectomy: a retrospective study of 164 consecutive cases[J]. J Fr Ophtalmol, 2010, 33(2):99
[24] Stalmans P. 23-gauge vitrectomy[J]. Dev Ophthalmol, 2014, 54:38
[25] Mikhail M, Ali-Ridha A, Chorfi S, et al. Long-term outcomes of sutureless 25-G+ pars-planavitrectomy for the management of diabetic tractional retinal detachment[J]. Graefes Arch Clin Exp Ophthalmol, 2017, 255(2):255
[26] Savastano A, Savastano M C, Barca F, et al.Combining cataract surgery with 25-Gauge High-Speed Pars planavitrectomy results from a retrospective study[J]. Ophthalmology, 2014, 121(1):299
[27] Oshima Y, Wakabayashi T, Sato T, et al. A 27-gauge instrument system for transconjunctival sutureless microincision vitrectomy surgery[J]. Ophthalmology, 2010, 117(1):93
[28] Oshima Y. Innovations in 27-Gauge vitrectomy for suturelessmicroincisionvitrectomy surgery: Duty cycle control and dual-port cutters may allow wider use of ultrasmall-gauge vitrectomy[J]. Retina Today, 2014:42
[29] Osawa S, Oshima Y. 27-Gauge vitrectomy[J]. Dev Ophthalmol, 2014, 54:54
[30] Abulon D J. Vitreous flow rates through dual pneumatic cutters: effects of duty cycle and cut rate[J]. Clin Ophthalmol, 2015, 9:253
[31] Abulon D J, Buboltz D C. Performance comparison of High-Speed Dual-Pneumatic vitrectomy cutters during simulated vitrectomy with balanced salt solution[J]. Transl Vis Sci Technol, 2015, 4(1):6
[32] Dugel P U, Abulon D J, Dimalanta R. Comparison of attraction capabilities associated with high-speed, dual-pneumatic vitrectomy probes[J].Retina, 2015, 35(5):915
[33] Khan M A, Shahlaee A, Toussaint B, et al. Outcomes of 27 gauge microincision vitrectomy surgery for posterior segment disease[J].Am J Ophthalmol, 2016, 161:36
[34] Rizzo S, Barca F, Caporossi T, et al. Twenty-seven-gauge vitrectomy for various vitreoretinal diseases[J]. Retina, 2015, 35(6):1273
[35] Zhang Z T, Wei Y T, Jiang X T, et al. Surgical outcomes of 27-gauge pars planavitrectomy with short-term postoperative tamponade of perfluorocarbon liquid for repair of giant retinal tears[J]. Int Ophthalmol, 2018, 38(4):1505
[36] Srinivasan S, Koshy Z. Pars plana posterior capsulectomy with a 27-gauge microincisionvitrectomy system for dense posterior capsule opacification[J].J Cataract Refract Surg, 2017,43(6):719
[37] Romano M R, Vallejo-Garcia J L, Scotti F A. 27-Gauge vitrectomy for primary rhegmatogenous retinal detachment: is it feasible[J]. Ann Acad Med Singapore, 2015, 44(5):185
[38] Yoneda K, Morikawa K, Oshima Y, et al. Surgical outcomes of 27-Gauge vitrectomy for a consecutive series of 163 eyes with various vitreous diseases[J]. Retina, 2017, 37(11): 2130

相似文献/References:

备注/Memo

备注/Memo:
作者简介 任新军(1981-),男,主治医师,硕士,研究方向:玻璃体视网膜眼外伤疾病;通信作者:李筱荣,E-mail:xiaorli@163.com。
更新日期/Last Update: 2019-08-28