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白内障手术联合人工晶状体植入术后视网膜脱离

[Retinal detachment after cataract surgery with intraocular lens implantation].

作者信息

Salvesen S, Eide N, Syrdalen P

机构信息

Oyeavdelingen Rikshopsitalet, Oslo.

出版信息

Tidsskr Nor Laegeforen. 1991 Feb 28;111(6):698-700.

PMID:2008689
Abstract

92 pseudophakic retinal detachments were treated in our hospital over a period of six years. These cases are reviewed retrospectively, with special emphasis on the factors that influenced the surgical outcome. The overall rate of success was 80%. Visual acuity was better than 0.1 in 77% of the cases. The major cause of failure was proliferative vitreoretinopathy, which was responsible for seven of ten failures. Postoperative proliferative vitreoretinopathy was the only factor that gave a significantly poorer prognosis after surgical treatment, although the presence of high myopia and preoperative proliferative vitreoretinopathy tended to give a less successful outcome. Likewise, there was a tendency for better prognosis in eyes with posterior chamber intraocular lenses.

摘要

在六年的时间里,我院共治疗了92例人工晶状体眼视网膜脱离患者。对这些病例进行回顾性分析,特别关注影响手术结果的因素。总体成功率为80%。77%的病例视力优于0.1。失败的主要原因是增生性玻璃体视网膜病变,十例失败中有七例是由该病变导致的。术后增生性玻璃体视网膜病变是手术治疗后预后明显较差的唯一因素,尽管高度近视和术前增生性玻璃体视网膜病变的存在往往导致手术效果欠佳。同样,植入后房型人工晶状体的眼睛预后有更好的趋势。

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