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[气体视网膜固定术后视网膜下液的延迟吸收]

[Delayed resorption of subretinal fluid after pneumatic retinopexy].

作者信息

Böker T, Koch F, Spitznas M

机构信息

Universitäts-Augenklinik Bundesrepublik Deutschland.

出版信息

Fortschr Ophthalmol. 1991;88(4):354-7.

PMID:1786920
Abstract

Delayed resorption of pooled subretinal fluid has been reported to cause impaired visual acuity due to involvement of the macula in up to 10% of all case. In our series of 60 eyes treated consecutively with pneumatic retinopexy for retinal detachment, 9 eyes experienced delayed absorption of subretinal fluid. Only 6 eyes showed the phenomenon of pooled, localized subretinal fluid without peripheral extension to the ora serrata. The time for complete absorption of these circumscribed subretinal bullae ranged from 8 to 52 weeks (mean 22.7 weeks). Impaired visual acuity could not be detected in any of these cases. This may be due to the location of these bullae, which never involved the macula. Therefore, we do not consider the occurrence of this phenomenon to be a reason not to carry out pneumatic retinopexy.

摘要

据报道,在所有病例中,高达10%的黄斑受累会导致视网膜下积液延迟吸收,进而损害视力。在我们连续用气体视网膜固定术治疗视网膜脱离的60只眼中,有9只眼出现视网膜下积液延迟吸收。只有6只眼出现局限性视网膜下积液聚集现象,且未向锯齿缘外周扩展。这些局限性视网膜下水泡完全吸收的时间为8至52周(平均22.7周)。在这些病例中均未检测到视力受损。这可能是由于这些水泡的位置从未累及黄斑。因此,我们认为这种现象的出现并非不进行气体视网膜固定术的理由。

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