Abouzeid Hana, Wolfensberger Thomas J
Department of Vitreretinal Surgery, Jules-Gonin Eye Hospital, University of Lausanne, Lausanne, Switzerland.
Acta Ophthalmol Scand. 2006 Oct;84(5):597-605. doi: 10.1111/j.1600-0420.2006.00676.x.
Macular recovery after surgery for retinal detachment (RD) depends on preoperative and postoperative predictive factors. Preoperative visual acuity is the main preoperative factor correlating positively with good macular recovery. Preoperative factors, which influence macular recovery negatively, include duration of macular detachment, height of macular detachment and vitreomacular traction. Postoperative factors, which influence macular recovery negatively, include cystoid macular oedema, epiretinal membranes, retinal folds, subretinal retinal pigment epithelium (RPE) migration and persistent subretinal fluid on optical coherence tomography (OCT). According to the latest available data, a detached macula has to be reattached within 5 days to optimize functional recovery. However, new therapeutic options such as exposure to hyperoxia or different growth factors may help to improve the final visual outcome in the presence of an already detached macula.
视网膜脱离（RD）手术后黄斑恢复取决于术前和术后的预测因素。术前视力是与黄斑良好恢复呈正相关的主要术前因素。对黄斑恢复有负面影响的术前因素包括黄斑脱离持续时间、黄斑脱离高度和玻璃体黄斑牵引。对黄斑恢复有负面影响的术后因素包括黄斑囊样水肿、视网膜前膜、视网膜皱褶、视网膜色素上皮（RPE）下迁移以及光学相干断层扫描（OCT）显示的持续性视网膜下液。根据现有最新数据，脱离的黄斑必须在5天内复位以优化功能恢复。然而，诸如暴露于高氧或不同生长因子等新的治疗选择可能有助于在黄斑已经脱离的情况下改善最终视力结果。
