Fournier P, Aracil P, Bonnet M
UER Lyon Nord, Hôpital de la Croix-Rousse.
J Fr Ophtalmol. 1988;11(1):7-14.
A retrospective study was conducted on a series of 28 eyes with primary retinal tears associated with vitreous hemorrhage. At initial presentation, the retina was detached in 17 eyes and attached in 11. In the series of eyes with an attached retina, the vitreous hemorrhage was massive in 5 eyes (45%), the average number of retinal tears was 1.36. All eyes showed a retinal tear located in the upper quadrants. Three patients (27%) experienced recurrent vitreous hemorrhage after sealing of the retinal tears. In the series of eyes with a detached retina, the vitreous hemorrhage was massive in 5 eyes (29%) and the average number of retinal tears was 1.9. The retinal detachment was located in the upper quadrants in 16 eyes (94%). Clinical evidence of proliferative vitreoretinopathy was noted, at initial presentation, in 6 eyes (35%). Permanent retinal reattachment was achieved in only 12 eyes (70%). All surgical failures were related to proliferative vitreoretinopathy. In the present series the prognosis of primary retinal tears with significant vitreous hemorrhage was guarded because of recurrent vitreous hemorrhages. The prognosis of primary rhegmatogenous retinal detachments with significant vitreous hemorrhage at initial presentation was guarded because of the high incidence of proliferative vitreoretinopathy.
对一系列28只伴有玻璃体出血的原发性视网膜裂孔眼进行了回顾性研究。初次就诊时，17只眼视网膜脱离，11只眼视网膜附着。在视网膜附着的眼组中，5只眼（45%）玻璃体出血量大，视网膜裂孔平均数量为1.36个。所有眼的视网膜裂孔均位于上象限。3例患者（27%）在视网膜裂孔封闭后发生复发性玻璃体出血。在视网膜脱离的眼组中，5只眼（29%）玻璃体出血量大，视网膜裂孔平均数量为1.9个。16只眼（94%）的视网膜脱离位于上象限。初次就诊时，6只眼（35%）有增殖性玻璃体视网膜病变的临床证据。仅12只眼（70%）实现了永久性视网膜复位。所有手术失败均与增殖性玻璃体视网膜病变有关。在本系列中，由于复发性玻璃体出血，伴有大量玻璃体出血的原发性视网膜裂孔预后不佳。初次就诊时伴有大量玻璃体出血的原发性孔源性视网膜脱离预后不佳，因为增殖性玻璃体视网膜病变的发生率很高。
