Kraushar M F, Morse P H
Department of Ophthalmology, University of Medicine and Dentistry of New Jersey, Newark.
Ophthalmic Surg. 1988 Dec;19(12):843-8.
A prospective study of 440 eyes of 220 patients following successful operations for primary rhegmatogenous retinal detachment (132 eyes) and prophylactic operations for retinal breaks (103 eyes) revealed an incidence of preretinal macular fibrosis (PRMF) of 47% after scleral buckling surgery and 42% after prophylactic laser or cryopexy. The incidence of PRMF was significantly greater in aphakic vs phakic detachments, in detachments with operculated vs horseshoe breaks, in detachments with horseshoe breaks vs lattice degeneration, in detachments involving the macula, after scleral buckling with cryotherapy vs diathermy, and after prophylactic treatment of retinal breaks of fellow eyes with retinal detachment or retinal breaks that had developed postoperative PRMF. Analysis of the data suggests that PRMF is most likely a result of the retinal break, detachment, and subsequent treatment.
一项对220例患者的440只眼进行的前瞻性研究，这些患者分别接受了原发性孔源性视网膜脱离成功手术（132只眼）和视网膜裂孔预防性手术（103只眼）。研究发现，巩膜扣带术后视网膜前黄斑纤维化（PRMF）的发生率为47%，预防性激光或冷冻治疗后为42%。无晶状体眼与有晶状体眼的视网膜脱离相比，有盖裂孔与马蹄形裂孔的视网膜脱离相比，马蹄形裂孔与格子样变性的视网膜脱离相比，累及黄斑的视网膜脱离，冷冻疗法与透热疗法的巩膜扣带术后，以及对发生术后PRMF的视网膜脱离或视网膜裂孔的对侧眼进行视网膜裂孔预防性治疗后，PRMF的发生率显著更高。数据分析表明，PRMF很可能是视网膜裂孔、脱离及后续治疗的结果。
