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[参照术前检查结果及人工晶状体植入类型比较有晶状体眼和无晶状体眼视网膜手术的成功率]

[Success of retinal surgery comparing phakic and pseudophakic eyes with reference to preoperative findings and the kind of lens implant].

作者信息

Bossung C, Müller K, Heiland E, Richard G

机构信息

Universitätsaugenklinik Mainz.

出版信息

Klin Monbl Augenheilkd. 1992 Aug;201(2):79-82. doi: 10.1055/s-2008-1045871.

Abstract

We analyzed retrospectively 597 eyes over a minimum follow-up of 6 months and compared the results of pseudophakic eyes with phakic eyes. The repair of pseudophakic retinal detachment is more difficult than the surgery in aphakic retinal detachment. Pseudophakic retinal detachment had a more advanced retinal detachment and PVR-stages at the time of diagnosis. Localisation of the tear was more complicated and the surgery was more invasive than in phakic eyes. In 61.2% the repair was for pseudophakic eyes with posterior chamber lens 78%, with anterior chamber lens 81.8% and for iris-fixated IOL's 75%. Compared to this, the anatomic reattachment rate in phakic eyes was 94.8%. The pseudophakic group had less favorable visual results.

摘要

我们对597只眼睛进行了回顾性分析,这些眼睛至少随访了6个月,并将人工晶状体眼的结果与有晶状体眼进行了比较。人工晶状体性视网膜脱离的修复比无晶状体性视网膜脱离的手术更困难。人工晶状体性视网膜脱离在诊断时视网膜脱离和增殖性玻璃体视网膜病变(PVR)阶段更严重。裂孔的定位比有晶状体眼更复杂,手术侵入性更强。在人工晶状体眼中,61.2%的修复是针对后房型人工晶状体眼,78%是针对前房型人工晶状体眼,81.8%是针对虹膜固定型人工晶状体眼。相比之下,有晶状体眼的解剖复位率为94.8%。人工晶状体组的视觉效果较差。

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