Baltazis S, Theodossiadis G, Velissaropoulos P
Arch Ophtalmol (Paris). 1976 Jan;36(1):21-32.
This study is based on a detailed investigation of 12 cases of Irvine-Gass syndrome which was observed during the examination of 350 patients operated for pathological or senile cataract. The authors have found that: Males were affected more than females. Arteriol hypertension increases the frequency of the disease. The syndrome was found at an increase frequency in cases of nuclear cataract and in case where cataract was extracted by cryo-extraction. The bulge of the vitreous within the anterior chamber (without rupture of the anterior hyaloid membrane) causes a higher frequency of the disease. A similar observation was made when there was an incarceration of the vitreous to the surgical wound. The retreat of the edema was faster when the syndrome appeared earlier than the cataract operation. Whereas the restoration of good visual acuity did not depend upon the time of appearance of the disease. During the fluorescein study the following was observed. The possible participation of the chorio-capillaris layer in the pathogenicity of the disease. The diffusion of the fluorescein diminished with the improvement of the disease. Fluorescein angiography is unquestionably superior to simple ophthalmoscopy or the coloured photograph of the fundus of the eye, because the full extent of the existing damage can be revealed only through this method.
本研究基于对350例因病理性或老年性白内障接受手术的患者进行检查时所观察到的12例Irvine - Gass综合征的详细调查。作者发现：男性比女性更易患病。动脉高血压会增加该病的发病率。在核性白内障病例以及采用冷冻摘除白内障的病例中，该综合征的发病率较高。前房内玻璃体隆起（无前玻璃体膜破裂）会导致该病的发病率更高。当玻璃体嵌顿于手术伤口时，也有类似的观察结果。当综合征在白内障手术之前出现时，水肿消退更快。而视力恢复良好与否并不取决于该病出现的时间。在荧光素研究过程中观察到以下情况。脉络膜毛细血管层可能参与了该病的发病机制。随着病情好转，荧光素的扩散减少。荧光素血管造影无疑优于单纯的检眼镜检查或眼底彩色照片，因为只有通过这种方法才能揭示现有损伤的全部范围。
