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视网膜脱离:缺乏遗传病因的证据。

Retinal dialysis: lack of evidence for a genetic cause.

作者信息

Ross W H

机构信息

Department of Ophthalmology, University of British Columbia, Vancouver.

出版信息

Can J Ophthalmol. 1991 Oct;26(6):309-12.

PMID:1751912
Abstract

The author reviewed 150 cases of retinal detachment secondary to retinal dialysis. In 95 cases (63%) a definite history of ocular trauma was obtained. In 91% of the 45 cases with superonasal, superotemporal or inferonasal involvement there was a history or evidence of blunt injury, compared with 63% of the 105 cases with inferotemporal involvement. Review of the family history, eye examinations of close relatives and ophthalmoscopic follow-up of the fellow eye in the 35 cases of inferotemporal dialysis with no history or evidence of trauma ruled out a genetic basis for the dialysis. Forgotten or denied trauma or a nongenetic developmental anomaly were felt to be the cause of the dialysis in these cases.

摘要

作者回顾了150例视网膜脱离继发于视网膜裂孔的病例。其中95例(63%)有明确的眼外伤史。在45例鼻上方、颞上方或鼻下方受累的病例中,91%有钝挫伤病史或证据,而在105例颞下方受累的病例中这一比例为63%。对35例颞下方裂孔且无外伤史或证据的病例进行家族史回顾、近亲眼部检查以及对侧眼的检眼镜随访,排除了裂孔的遗传基础。在这些病例中,被认为是遗忘或否认的外伤或非遗传性发育异常导致了裂孔。

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