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伴有后房型人工晶状体的视网膜脱离

[Retinal detachment with posterior chamber lens].

作者信息

Hünemohr D, Pham D T, Wollensak J

机构信息

Klinikum Charlottenburg, Freien Universität Berlin.

出版信息

Klin Monbl Augenheilkd. 1992 Feb;200(2):91-4. doi: 10.1055/s-2008-1045718.

Abstract

Pseudophakic retinal detachment was seen in 55 cases out of 13,692 patients that underwent cataract surgery and posterior chamber lens implantation in a 5 year period. The six-month incidence was 0.4%. Main risk factors were: myopia, capsular tear resp. zonular dialysis, and male gender. Sulcus- and capsular bag fixation showed the same incidence. 42% of pseudophakic retinal detachments occurred within the first 12 months after cataract surgery and 84% within the first three years. The resulting cumulation rate is discussed. The outcome of detachment surgery was reduced with increased rate of PVR. No typical localisation of retinal holes was found.

摘要

在5年期间接受白内障手术并植入后房型人工晶状体的13692例患者中,有55例发生了人工晶状体性视网膜脱离。6个月发病率为0.4%。主要危险因素为:近视、晶状体囊膜撕裂或悬韧带离断以及男性。睫状沟固定和囊袋内固定的发病率相同。42%的人工晶状体性视网膜脱离发生在白内障手术后的前12个月内,84%发生在头三年内。讨论了由此产生的累积率。随着增殖性玻璃体视网膜病变(PVR)发生率的增加,视网膜脱离手术的效果降低。未发现视网膜裂孔的典型定位。

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