Madelain J, Turut P
Bull Soc Ophtalmol Fr. 1990 Feb;90(2):141-7.
Incidence of spontaneous second retinal detachment ranged from 10 to 19%. We reported a retrospective study of 527 rhegmatogenous retinal detachments. At the end of this study 302 second eyes with an average follow up of 46 months have been analysed. 205 second eyes were treated systematically by 360 degrees equatorial Argon Laser Photocoagulation (ALP) completed by four anterior radial rows independently of evidence or lack of peripheral retinal degenerations or retinal breaks. The incidence of bilateral retinal detachment decreased from 11 to 2.4% when systematical prophylactic treatment has been applied. After prophylactic treatment, no complications could be certainly attribute to ALP. This study contributed to ascertain safety and effectiveness of systematical prophylactic treatment by ALP.
自发性继发性视网膜脱离的发生率为10%至19%。我们报告了一项对527例孔源性视网膜脱离的回顾性研究。在本研究结束时,对302只随访平均46个月的对侧眼进行了分析。205只对侧眼接受了系统治疗,无论有无周边视网膜变性或视网膜裂孔,均进行360度赤道部氩激光光凝(ALP)并在前部增加四排放射状光凝。当采用系统预防性治疗后,双侧视网膜脱离的发生率从11%降至2.4%。预防性治疗后,未发现明确可归因于ALP的并发症。本研究有助于确定ALP系统预防性治疗的安全性和有效性。