Ripandelli Guido, Scassa Cecilia, Parisi Vincenzo, Gazzaniga Daniela, D'Amico Donald J, Stirpe Mario
Fondazione G. B. Bietti per l'Oftalmologia, Rome, Italy.
Ophthalmology. 2003 Dec;110(12):2355-61. doi: 10.1016/S0161-6420(03)00819-4.
To evaluate the incidence of retinal detachment (RD) after cataract surgery performed by phacoemulsification in very highly myopic eyes.
Retrospective, paired-eye, case-control trial.
We assessed the development of RD in 930 eyes from 930 subjects (mean age = 62.5 +/- 8.5 years) affected by very high myopia (between -15 and -30 diopters) undergoing cataract surgery after uncomplicated phacoemulsification (cataract-subjected [CS] eyes). Fellow eyes served as controls. Follow-up was 36 months.
Detachment of the retina.
Retinal detachment was observed in 8.0% of CS eyes compared with 1.2% of control eyes (P<0.01, chi-square test). In CS eyes, posterior RD was most common (52.7% of eyes with RD). In control eyes, peripheral detachments with or without macular involvement were most common (47.3% of eyes with RD).
Cataract surgery, despite the use of a safe technique such as phacoemulsification, increases the risk of RD development in very highly myopic eyes.
评估在超高度近视眼中行白内障超声乳化手术后视网膜脱离（RD）的发生率。
回顾性、双眼配对、病例对照试验。
我们评估了930例受超高度近视（-15至-30屈光度）影响的受试者（平均年龄=62.5±8.5岁）的930只眼睛在进行无并发症的超声乳化白内障手术后RD的发生情况（白内障手术眼[CS眼]）。对侧眼作为对照。随访36个月。
视网膜脱离。
CS眼中观察到视网膜脱离的比例为8.0%，而对照眼中为1.2%（P<0.01，卡方检验）。在CS眼中，后部RD最为常见（占RD眼的52.7%）。在对照眼中，伴有或不伴有黄斑受累的周边脱离最为常见（占RD眼的47.3%）。
白内障手术，尽管采用了如超声乳化等安全技术，但仍会增加超高度近视眼中发生RD的风险。
