Yoshida A, Ogasawara H, Jalkh A E, Sanders R J, McMeel J W, Schepens C L
Eye Research Institute and Retina Associates, Boston, MA 02114.
Ophthalmology. 1992 Mar;99(3):460-5. doi: 10.1016/s0161-6420(92)31952-9.
The authors studied the results obtained by the Retina Associates in 376 eyes of 361 patients operated on for retinal detachment associated with aphakia or pseudophakia with a postoperative follow-up of at least 6 months. All eyes underwent scleral buckling. The series included 103 eyes with aphakia, 17 eyes with iris-fixated intraocular lens, 111 eyes with anterior chamber (AC) IOL, and 145 eyes with posterior chamber (PC) IOL. The overall success rate for retinal detachment was 93%, without significant difference among the different groups. The aphakia and PC IOL groups had significantly higher prevalence (63% and 60%, respectively) of visual acuity equal to or better than 20/40 compared with the AC IOL group (33%). The prevalence of postoperative corneal edema in the AC IOL group was significantly higher than in the aphakia and PC IOL groups. Preoperative vitreous hemorrhage, large retinal breaks, posterior retinal breaks, total retinal detachment, proliferative vitreoretinopathy, and the need for performing a closed vitrectomy were significant factors in predicting ultimate failure.
作者研究了视网膜协会对361例因无晶状体或人工晶状体相关的视网膜脱离而接受手术的患者的376只眼睛的治疗结果，术后随访至少6个月。所有眼睛均接受了巩膜扣带术。该系列包括103只无晶状体眼、17只虹膜固定人工晶状体眼、111只前房人工晶状体眼和145只后房人工晶状体眼。视网膜脱离的总体成功率为93%，不同组之间无显著差异。与前房人工晶状体组（33%）相比，无晶状体眼和后房人工晶状体组视力等于或优于20/40的患病率显著更高（分别为63%和60%）。前房人工晶状体组术后角膜水肿的患病率显著高于无晶状体眼和后房人工晶状体组。术前玻璃体出血、大的视网膜裂孔、后部视网膜裂孔、完全视网膜脱离、增殖性玻璃体视网膜病变以及进行闭合式玻璃体切除术的必要性是预测最终失败的重要因素。
