Comparison of the efficacy of vitrectomy combined with different filling procedures in the treatment of rhegmatogenous retinal detachment of macular detachment
Abstract
Background and purpose: To compare the clinical efficacy of vitrectomy combined with silicone oil tamponade and perfluoropropane (C3F8) tamponade in the treatment of macular hole retinal detachment(MHRD).Methods: The clinical data of 55 patients with MHRD who were treated in our hospital from January 2022 to January 2023 were retrospectively analyzed,They were divided into silicone oil group (n=25) and C3F8 group (n=30) according to the surgical methos. The differences in macular hole closure, retinal detachment and replacement, vision recovery and postoperative complications between the two groups were compared.Result: Three months after surgery, there was no significant difference in the macular hole closure rate between the C3F8 group and the silicone oil group (P>0.05),There was no significant difference in retinal reattachment rate between C3F8 group and silicone oil group (P>0.05),the best corrected visual acuity after surgery was significantly improved in both the C3F8 group and the silicone oil group, and the C3F8 group was better than the silicone oil group (P<0.05),there was no significant difference in the incidence of complications between the C3F8 group and the silicone oil group (P>0.05). Conclusion: Vitrectomy combined with intraocular tamponade for MHRD can effectively reposition retina and close macular holesImprove the patient’s best corrected visual acuity, and the vision recovery in the C3F8 group was better than that in the silicone oil group.
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