Bonnet M, Fleury J
University Eye Clinic, U.E.R. Lyon Nord, Hôpital de la Croix-Rousse, France.
Graefes Arch Clin Exp Ophthalmol. 1991;229(6):539-42. doi: 10.1007/BF00203318.
Between December 1981 and April 1989 the authors operated on 61 eyes presenting with retinal detachment after penetrating eye injury. Air or expanding gases were used for retinal tamponade. The follow-up between complete gas absorption and last examination ranged from 8 months to 8 years (mean, 29 months). Retinal reattachment was achieved in 50 eyes (81.9%). Anatomic success was achieved by a single operation in 43 eyes (70.5%). A postoperative visual acuity of 20/40 or better was achieved in 46% of the eyes. The factors found to influence the postoperative outcome adversely include (1) association of severe blunt trauma (P less than 0.05), (2) anterior proliferative vitreoretinopathy (PVR) involving two or more quadrants (P less than 0.01), and (2) retinotomies (P less than 0.007).
1981年12月至1989年4月期间，作者对61例穿透性眼外伤后出现视网膜脱离的患眼进行了手术。采用空气或膨胀性气体进行视网膜填塞。从气体完全吸收至最后一次检查的随访时间为8个月至8年（平均29个月）。50只眼（81.9%）实现了视网膜复位。43只眼（70.5%）通过单次手术获得了解剖学成功。46%的患眼术后视力达到20/40或更好。发现对术后结果产生不利影响的因素包括：（1）合并严重钝挫伤（P<0.05）；（2）累及两个或更多象限的前部增殖性玻璃体视网膜病变（PVR）（P<0.01）；以及（3）视网膜切开术（P<0.007）。
