白内障手术后视网膜脱离的时间发生。

Temporal occurrence of retinal detachments after cataract surgery.

机构信息

Center of Ophthalmology, Department of Vitreo-Retinal Surgery, University of Cologne, Cologne, Germany.

出版信息

Acta Ophthalmol. 2012 Dec;90(8):e594-6. doi: 10.1111/j.1755-3768.2012.02559.x. Epub 2012 Sep 19.

DOI:10.1111/j.1755-3768.2012.02559.x

PMID:22989119

Abstract

PURPOSE

To characterize the temporal occurrence of retinal detachments (RD) after cataract surgery.

METHODS

In this retrospective, consecutive case series, we reviewed the charts of 798 pseudophakic patients with primary rhegmatogenous RD that underwent surgery between 1999 and 2009, at the Center of Ophthalmology, University of Cologne, Germany.

RESULTS

Twenty-five percent of all pseudophakic RDs occurred within 1 year after cataract surgery, 50% within 3.2 years and 90% within 9.9 years. Risk was increased for at least 11 years. The time interval was significantly shorter in vitrectomized eyes (2.49 versus 4.31 years, p = 0.016). Women showed a statistical trend towards longer time intervals (4.72 versus 3.93 years, p = 0.052), whereas myopic patients and different age groups showed no significant difference.

CONCLUSIONS

After cataract surgery, the risk for RD was highest in the beginning and decreased continuously over time. However, the risk was increased for at least 11 years. Therefore, most studies have underestimated the incidence of RD after cataract surgery.

摘要

目的

描述白内障手术后视网膜脱离（RD）的时间发生情况。

方法

在这项回顾性、连续病例系列研究中，我们回顾了德国科隆大学眼科中心在 1999 年至 2009 年间接受手术的 798 例原发性孔源性 RD 继发的白内障术后假性近视患者的图表。

结果

所有白内障术后 RD 中，25%发生在术后 1 年内，50%发生在术后 3.2 年内，90%发生在术后 9.9 年内。风险至少增加了 11 年。玻璃体切除眼的时间间隔明显缩短（2.49 年与 4.31 年，p = 0.016）。女性的时间间隔呈统计学趋势延长（4.72 年与 3.93 年，p = 0.052），而近视患者和不同年龄组则无显著差异。