Folk J C, Bennett S R, Klugman M R, Arrindell E L, Boldt H C
Department of Ophthalmology, University of Iowa, Iowa City 52242.
Retina. 1990;10(3):165-9.
The authors performed a retrospective analysis on 296 phakic patients who had bilateral lattice degeneration and a retinal detachment in one eye. The analysis was done to determine the complications of full prophylactic treatment to lattice and breaks in the fellow eye and to explain the reasons that this treatment sometimes did not prevent new retinal breaks or detachments. The patients were followed for a mean +/- SD of 7.415 +/- 5.422 years after their first detachment. Twenty-four new tears occurred in the fellow eyes during this time, seven (29.2%) of which were away from areas of visible lattice. Prophylactic treatment did not appear to cause new tears or increase the risk of detachment if a new tear occurred. It also did not compromise the surgical repair in those patients who had eyes in which new breaks or detachments developed. The risk of visual loss was similar in those patients receiving prophylactic treatment compared with those not receiving treatment.
作者对296例患有双侧格子样变性且一只眼睛发生视网膜脱离的有晶状体眼患者进行了回顾性分析。此次分析旨在确定对另一只眼睛的格子样变性和裂孔进行全面预防性治疗的并发症，并解释这种治疗有时无法预防新的视网膜裂孔或脱离的原因。首次视网膜脱离后，对患者进行了平均7.415±5.422年（均值±标准差）的随访。在此期间，另一只眼睛出现了24处新裂孔，其中7处（29.2%）位于不可见格子样变性区域之外。预防性治疗似乎不会导致新裂孔的出现，也不会在出现新裂孔时增加视网膜脱离的风险。对于那些另一只眼睛出现新裂孔或脱离的患者，预防性治疗也不会影响手术修复。接受预防性治疗的患者与未接受治疗的患者相比，视力丧失的风险相似。
