急性玻璃体后脱离患者发生多发性视网膜裂孔的危险因素。
Risk factors for multiple retinal tears in patients with acute posterior vitreous detachment.
作者信息
Karahan Eyyup, Karti Omer, Er Duygu, Cam Duygu, Aydın Rukiye, Zengin Mehmet Ozgur, Kaynak Suleyman
机构信息
Department of Ophthalmology, Van Training and Research Hospital, Van, Turkey.
Department of Ophthalmology, Bozyaka Training and Research Hospital, Saim Cıkrıkcı Caddesi No:59, Izmir, Turkey.
出版信息
Int Ophthalmol. 2018 Feb;38(1):257-263. doi: 10.1007/s10792-017-0455-0. Epub 2017 Feb 3.
PURPOSE
To evaluate possible risk factors for multiple retinal tears in patients with acute posterior vitreous detachment.
MATERIALS AND METHODS
Three hundred and seventy-six consecutive patients presenting with symptoms of floaters and/or flashes were examined. The associations of retinal tears with the duration of symptoms, multiple floaters, flashing, a family history of retinal detachment, peripheral retinal degeneration, lens status, myopia, tobacco dust, and retinal or vitreous hemorrhage were analyzed.
RESULTS
Fifty-four (14.4%) of the 376 patients had 71 initial retinal tears. Forty of the 54 eyes had one retinal tear, and 14 eyes had multiple retinal tears. The presence of retinal or vitreous hemorrhage increased the risk of multiple retinal tears 6.1 times using univariate analysis and 7.0 times using multivariate analysis.
CONCLUSION
Unrecognized retinal tears in patients with acute posterior vitreous detachment can cause subsequent retinal detachment. It is therefore important to consider multiple retinal tears, especially in patients with retinal or vitreous hemorrhage.
目的
评估急性玻璃体后脱离患者发生多发性视网膜裂孔的可能危险因素。
材料与方法
对376例连续出现飞蚊症和/或闪光感症状的患者进行检查。分析视网膜裂孔与症状持续时间、多发性飞蚊症、闪光感、视网膜脱离家族史、周边视网膜变性、晶状体状态、近视、烟草粉尘以及视网膜或玻璃体出血之间的关联。
结果
376例患者中有54例（14.4%）出现71处初始视网膜裂孔。54只眼中40只眼有一处视网膜裂孔，14只眼有多发性视网膜裂孔。单因素分析显示，视网膜或玻璃体出血使多发性视网膜裂孔的风险增加6.1倍，多因素分析显示增加7.0倍。
结论
急性玻璃体后脱离患者未被识别的视网膜裂孔可导致随后的视网膜脱离。因此，考虑多发性视网膜裂孔很重要，尤其是在有视网膜或玻璃体出血的患者中。
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