摘要
目的:探讨视网膜脱离的临床特点和手术疗效。方法:回顾分析90例94眼各种类型视网膜脱离的临床特点、相关因素与疗效的关系及并发症。结果:治愈85眼占91%。复发6眼占6%。失败3眼占3%。术后视力提高者75眼(80%)。16眼视力无进步(17%)。视力下降3眼(3%)。本组19眼是正视眼发病率为20%。对侧眼视网膜脱离9眼,视网膜有各种变性41眼,有干性裂孔9眼。术后主要并发症是早期高眼压共18眼(60%)。结论:术前查找裂孔是手术成败的关键。视网膜脱离范围大或有黄斑裂孔术后视网膜脱离复发率高。近视眼是发生视网膜脱离的高危因素,眼或头部外伤是正视眼发病的危险因素。
AIM. To investigate the clinical characteristics and surgical effects of retinal detachment（RD）.
METHODS： We reviewed 90 cases （94 eyes ） of rhegmatogenous RD and analyzed the relations of clinical characteristics, related factors, surgical effects and complications.
RESULTS： 91% of RD patients were cured, 3% failed, re-detachment occurred in 6%. The visual acuity （VA） were improved in 75 eyes （80%）, remained stable in 16 eyes （17%）, declined in 3 eyes （3%）. Nineteen eyes （20%） of RD were emmetropia, with RD in fellow eye in 9 eyes, retinal degeneration in 41 eyes, dry retinal breaks in 9 eyes. The main complication of RD was high intraocular pressure in 18 eyes （60%）.
CONCLUSION： The key of successful RD surgeries is to find the breaks. Retinal re-detachments recur with wide range of RD or macular holes. Myopia is the high risk related to RD, and ocular or head trauma are the high risks of emmetropia with RD.
出处
《国际眼科杂志》
CAS
2008年第3期604-605,共2页
International Eye Science
