孔源性视网膜脱离的慢性病程对复位手术后解剖学成功的预后影响。
The prognostic influence of chronicity of rhegmatogenous retinal detachment on anatomic success after reattachment surgery.
作者信息
James Mark, O'Doherty Maeve, Beatty Stephen
机构信息
Waterford Regional Hospital, Waterford, Ireland.
出版信息
Am J Ophthalmol. 2007 Jun;143(6):1032-4. doi: 10.1016/j.ajo.2007.01.057.
PURPOSE
To investigate anatomic success after surgery for chronic retinal detachment.
DESIGN
Retrospective, case series review.
METHODS
The surgical outcomes of reattachment surgery for 36 eyes of 35 patients with chronic retinal detachments are reported and are compared with the outcomes for 129 fresh retinal detachments.
RESULTS
After exclusion of retinal detachments secondary to retinal dialysis and of cases with proliferative vitreoretinopathy (PVR), success after a single procedure was seen in eight of 14 (57.1%) chronic retinal detachments, and this compares with 92 of 107 (86.0%) fresh retinal detachments (P = .0161).
CONCLUSIONS
Chronicity of retinal detachment at presentation is an important and poor prognostic indicator for reattachment surgery.
目的
研究慢性视网膜脱离手术后的解剖学成功率。
设计
回顾性病例系列研究。
方法
报告35例慢性视网膜脱离患者36只眼的复位手术结果，并与129例新鲜视网膜脱离的结果进行比较。
结果
排除继发于视网膜裂孔的视网膜脱离和增生性玻璃体视网膜病变（PVR）病例后，14例慢性视网膜脱离中有8例（57.1%）单次手术成功，而107例新鲜视网膜脱离中有92例（86.0%）成功（P = 0.0161）。
结论
就诊时视网膜脱离的慢性病程是复位手术的一个重要且预后不良的指标。
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