Hitchings R A, Chisholm I H
Br J Ophthalmol. 1975 Aug;59(8):444-50. doi: 10.1136/bjo.59.8.444.
A prospective angiographic study of 77 aphakic eyes demonstrated cystoid macular oedema in 36 eyes (46-7 per cent) 6 to 7 weeks postoperatively. This subsequently resolved in 16 eyes, improved in eight, and was no better or worse in five (eight patients failed to return for follow-up). Of those patients with cystoid oedema, 16-6 per cent had a visual acuity of less than 6/12 at the time of the original examination; this was reduced to 13-8 per cent at the time of the follow-up study. The mean visual acuity of the group with oedema improved from 6/9 to 6/7-5 between the two examinations compared with 6/6 in the remaining 53-3 per cent without oedema. Preoperative ocular or general disease, specific surgical technique, and vitreous loss were not shown to be associated with macular oedema. However, there was some indication that intraocular inflammation predisposed to macular oedema.
一项对77只无晶状体眼的前瞻性血管造影研究显示,术后6至7周时,36只眼(46.7%)出现了黄斑囊样水肿。其中16只眼的水肿随后消退,8只眼有所改善,5只眼无变化(8名患者未返回进行随访)。在患有囊样水肿的患者中,16.6%在初次检查时视力低于6/12;在随访研究时,这一比例降至13.8%。两次检查之间,水肿组的平均视力从6/9提高到6/7.5,而其余53.3%无水肿的患者平均视力为6/6。术前眼部或全身性疾病、特定手术技术和玻璃体丢失与黄斑水肿无关。然而,有迹象表明眼内炎症易引发黄斑水肿。