Jun Bo Young, Shin Jae Pil, Kim Si Yeol
Department of Ophthalmology, School of Medicine, Kyungpook National University, Taegu, Korea.
Korean J Ophthalmol. 2004 Jun;18(1):58-64. doi: 10.3341/kjo.2004.18.1.58.
We retrospectively evaluated the clinical characteristics and surgical outcomes of 20 pseudophakic retinal detachment (RD) patients (20 eyes) and 17 aphakic RD patients (17 eyes). Males were predominated in both groups. The time interval between cataract extraction and RD was 31 months on average in the pseudophakic group, 32 months with intact posterior capsule and 27 months with ruptured posterior capsule, and 148 months in the aphakic group. In 50% of cases with ruptured posterior capsule in the pseudophakic group, RD occurred within 1 year. The anatomic success rate was 95% in the pseudophakic group and 88% in the aphakic group. The most common cause of failure was the development of proliferative vitreoretinopathy. Visual acuities more than 20/40 after RD surgery were found in 13 pseudophakic (65%) and 6 aphakic (36%) eyes. Aphakic patients were more inclined to have silent RD than pseudophakic patients because of their poor visual acuity. Post-operative follow-up is required especially for the first 1 year in cases of damaged posterior capsule due to the high incidence of RD during this period.
我们回顾性评估了20例人工晶状体眼视网膜脱离（RD）患者（20只眼）和17例无晶状体眼RD患者（17只眼）的临床特征及手术结果。两组均以男性为主。人工晶状体眼组白内障摘除与RD之间的平均时间间隔为31个月，后囊完整者为32个月，后囊破裂者为27个月，无晶状体眼组为148个月。人工晶状体眼组后囊破裂的病例中，50%在1年内发生了RD。人工晶状体眼组的解剖成功率为95%，无晶状体眼组为88%。最常见的失败原因是增殖性玻璃体视网膜病变的发生。RD手术后视力大于20/40的情况在13只人工晶状体眼（65%）和6只无晶状体眼（36%）中出现。由于视力较差，无晶状体眼患者比人工晶状体眼患者更易发生无症状性RD。对于后囊受损的病例，术后尤其是最初1年需要进行随访，因为在此期间RD的发生率较高。
