Theodossiadis G, Chatzoulis D, Patelis J, Velissaropoulos P
Ophthalmologica. 1975;171(6):439-50. doi: 10.1159/000307568.
The follow-up of 262 cases of retinal detachment operated on after the Custodis-Lincoff method in combination with cryopexy permitted the following observations: (1) The implant protruded in a number of cases under an intact conjunctiva and Tenon's capsule without discomfort to the patient. This protrusion depended mainly on the size and the manner of fixation of the implant, the distance of the point of fixation from the limbus and the condition of the conjunctiva. (2) Changes were observed in the conjunctiva in the fixation area, such as subconjunctival haemorrhage, cystoid degeneration of the conjunctiva and rupture with extrusion of the sponge. Subconjunctival haemorrhages were observed in 3.4% of the cases and were either absorbed or led to an inflammation. Cystoid degenerations occurred in 2.2% of our cases. These were limited to the edge of the sponge proximate to the limbus and involved only cases of radial fixation. Rupture of the conjuctiva and extrusion were noticed in 3.4% of the cases. (3) An inflammation due to the sponge was observed in 4.1% of the cases. Its time of onset varied between 3 days and 22 months. According to the time of onset the patients were divided into three groups. The gravity of the inflammation was proportionate to the earliness of the time of onset. Predisposing factors for the above complications were mentioned and discussed.
对262例行 Custodis-Lincoff 法联合冷冻疗法治疗视网膜脱离的病例进行随访后得出以下观察结果：(1) 在一些病例中，植入物在结膜和眼球筋膜囊完整的情况下突出，患者并无不适。这种突出主要取决于植入物的大小和固定方式、固定点与角膜缘的距离以及结膜的状况。(2) 在固定区域的结膜出现了一些变化，如结膜下出血、结膜囊肿样变性以及结膜破裂伴海绵体挤出。3.4% 的病例出现结膜下出血，这些出血要么被吸收，要么引发炎症。2.2% 的病例发生了囊肿样变性。这些变性仅限于靠近角膜缘的海绵体边缘，且仅见于放射状固定的病例。3.4% 的病例出现结膜破裂和挤出。(3) 4.1% 的病例出现了因海绵体引发的炎症。其发病时间在3天至22个月之间。根据发病时间将患者分为三组。炎症的严重程度与发病时间的早晚成正比。文中提到并讨论了上述并发症的诱发因素。
