Noorily S W, Small K, de Juan E, Machemer R
Department of Ophthalmology, Duke University Eye Center, Durham, NC.
Ophthalmology. 1992 Feb;99(2):263-8. doi: 10.1016/s0161-6420(92)31978-5.
Results of scleral buckling in 15 consecutive eyes of 13 infants with stage 4B retinopathy of prematurity (ROP) were reviewed. Ten of 15 retinas achieved macular reattachment with a single scleral buckling procedure. Four of 15 retinas unable to be attached by scleral buckling were reattached after the addition of a single vitreous operation. One of 15 retinas was unable to be reattached despite both a scleral buckling and a single vitreous procedure. Despite macular attachment in all except one eye, visual results were disappointing. Fix and follow visual acuity was present in 3 eyes, light perception in 11 eyes, and no light perception in 1 eye. Average follow-up was 10 months. Possible causes for poor visual outcomes despite retinal reattachment include retinal abnormalities as a result of detachment and amblyopia.
回顾了13例患有4B期早产儿视网膜病变（ROP）的婴儿连续15只眼行巩膜扣带术的结果。15只眼中有10只视网膜通过单次巩膜扣带术实现了黄斑复位。15只无法通过巩膜扣带术附着的视网膜中有4只在增加单次玻璃体手术后实现了复位。15只视网膜中有1只尽管进行了巩膜扣带术和单次玻璃体手术仍无法复位。除1只眼外，尽管所有眼黄斑均已附着，但视觉结果令人失望。3只眼有固定并随访的视力，11只眼有光感，1只眼无光感。平均随访时间为10个月。尽管视网膜复位，但视觉结果不佳的可能原因包括脱离导致的视网膜异常和弱视。
