Bechrakis N E, Dimmer A
Univ.-Klinik für Augenheilkunde und Optometrie, Medizinische Universität Innsbruck, Anichstr. 35, 6020, Innsbruck, Österreich.
Ophthalmologe. 2018 Feb;115(2):163-178. doi: 10.1007/s00347-017-0647-z.
The incidence of rhegmatogenous retinal detachment in the European population is approximately 10 cases per 100,000 inhabitants per year and reaches a peak in the 6th and 7th decades of life, mostly in atemporal association with posterior vitreous body detachment. Known risk factors include myopia and higher axial length of the eye, male gender, previous trauma and vitreoretinal degeneration or dystrophy. In recent years, an increase in the risk of rhegmatogenous retinal detachment following cataract surgery was also found, especially after capsule rupture and vitreous body loss. In contrast to clear lens extraction (CLE), the refractive intervention of laser in situ keratomileusis (LASIK) does not seem to increase the risk of rhegmatogenous retinal detachment. Retinal detachment stabilizes during physical protection and posturing but progresses through bodily activity and during interruptions in patients with macula-on retinal detachment.
在欧洲人群中,孔源性视网膜脱离的发病率约为每年每10万居民10例,在60和70岁达到高峰,大多与玻璃体后脱离无时间关联。已知的危险因素包括近视、眼轴长度增加、男性、既往外伤以及玻璃体视网膜变性或营养不良。近年来,还发现白内障手术后孔源性视网膜脱离的风险增加,尤其是在晶状体囊破裂和玻璃体丢失之后。与透明晶状体摘除术(CLE)相比,准分子原位角膜磨镶术(LASIK)这种屈光干预似乎不会增加孔源性视网膜脱离的风险。视网膜脱离在物理保护和体位疗法期间会稳定下来,但在黄斑未脱离的视网膜脱离患者进行身体活动和休息期间会进展。