Wilkinson Charles Patton
Departments of Ophthalmology, Greater Baltimore Medical Center and The Johns Hopkins Hospital, Baltimore, Maryland, USA.
Trans Am Ophthalmol Soc. 2009 Dec;107:55-7.
To present contemporary information regarding the continued inability to reliably predict visual acuity following successful retinal reattachment surgery.
Literature review.
Anatomical results of surgery for retinal detachment continue to be far superior to visual results. Clinical factors that have been considered important in predicting postoperative visual acuity include preoperative vision, duration of detachment, height of detachment, and preoperative potential acuity meter results. Recently, optical coherence tomography (OCT) studies have been employed for the purpose of predicting postoperative visual acuity, but to date none of these devices can precisely forecast postoperative vision in an individual eye.
Preoperative visual acuities appear to be the most important clinical variants correlating with postoperative visual results. Although advanced OCT techniques have identified preoperative and postoperative anatomical alterations that correlate with preoperative and postoperative visions in groups of eyes, no single specific finding indicates unequivocal visual success, and most reports continue to include examples of exceptions to statistical trends.
提供有关视网膜复位手术成功后仍无法可靠预测视力的当代信息。
文献综述。
视网膜脱离手术的解剖学结果仍远优于视觉结果。在预测术后视力方面被认为重要的临床因素包括术前视力、脱离持续时间、脱离高度以及术前潜在视力计结果。最近，光学相干断层扫描（OCT）研究已被用于预测术后视力，但迄今为止，这些设备中没有一种能够精确预测单眼术后视力。
术前视力似乎是与术后视觉结果相关的最重要临床变量。尽管先进的OCT技术已经确定了术前和术后与一组眼睛的术前和术后视力相关的解剖学改变，但没有单一的特定发现表明明确的视觉成功，并且大多数报告仍然包括统计趋势的例外情况。
