视网膜脱离手术后的黄斑变化。

Macular changes after retinal detachment surgery.

作者信息

Sabates N R, Sabates F N, Sabates R, Lee K Y, Ziemianski M C

机构信息

Dean McGee Eye Institute, University of Oklahoma, Oklahoma City 73104.

出版信息

Am J Ophthalmol. 1989 Jul 15;108(1):22-9. doi: 10.1016/s0002-9394(14)73255-6.

DOI:10.1016/s0002-9394(14)73255-6

PMID:2750831

Abstract

We studied 175 eyes of 175 patients who had successful repair of primary rhegmatogenous retinal detachment. Patients were randomly assigned to be treated with cryotherapy and episcleral sponges or with diathermy, scleral dissection, and encircling silicone bands. Fundus photography and fluorescein angiography were performed six weeks after successful reattachment surgery. Macular complications were discovered in 48 (27%) of the 175 eyes. The most frequent changes were cystoid macular edema in 28 (16%) and preretinal macular membrane in 13 eyes (8%). No significant differences in the incidence of cystoid macular edema were observed between diathermy and cryotherapy. Macular detachment, increased duration of macular detachment, cryotherapy, and pseudophakia were identified as risk factors for certain macular complications.

摘要

我们研究了175例原发性孔源性视网膜脱离成功修复患者的175只眼。患者被随机分为接受冷冻疗法联合巩膜外海绵治疗组或透热疗法、巩膜切开术及环扎硅胶带治疗组。视网膜复位手术成功六周后进行眼底照相和荧光素血管造影。175只眼中有48只眼（27%）发现黄斑并发症。最常见的改变是28只眼（16%）出现黄斑囊样水肿，13只眼（8%）出现视网膜前黄斑膜。透热疗法和冷冻疗法之间黄斑囊样水肿的发生率无显著差异。黄斑脱离、黄斑脱离时间延长、冷冻疗法及人工晶状体被确定为某些黄斑并发症的危险因素。