Haut J, Monin C, Diner-Nedey S, Van Effenterre G
Centre National d'Ophtalmologie, Hôpital des Quinze-Vingts, Paris.
J Fr Ophtalmol. 1987;10(11):717-22.
The incidence of bilateral retinal detachment ranges from 12 to 15%. A retrospective study including of 141 patients with a systematical prophylactic treatment of the fellow eye is reported. After the prophylactic photocoagulation no bilateral retinal detachment occurred, no complication arose. The average follow-up was about 18 months. The authors describe the technique of the prophylactic argon laser treatment. This photocoagulation associates a focal treatment excluding suspicious lesions, and a 360 degree equatorial treatment, completed by several anterior radial rows and by a scattered but tight photocoagulation from the equator to the ora. The authors conclude that prophylactic and systematical treatment is safe and effective, avoiding the focal retinal detachments, anterior giant tears and probably many breaks. The follow-up is still too short to know the longterm percentage of bilateral detachments with such a treatment of the fellow eyes.
双侧视网膜脱离的发生率在12%至15%之间。本文报道了一项回顾性研究，该研究纳入了141例对侧眼接受系统性预防性治疗的患者。在进行预防性光凝治疗后，未发生双侧视网膜脱离，也未出现并发症。平均随访时间约为18个月。作者描述了预防性氩激光治疗技术。这种光凝治疗包括对可疑病变进行的局部治疗，以及360度赤道部治疗，再加上几排前部放射状光凝和从赤道到锯齿缘的密集散在光凝。作者得出结论，预防性和系统性治疗是安全有效的，可避免局限性视网膜脱离、前部巨大裂孔以及可能的许多裂孔。随访时间仍然太短，尚无法得知对侧眼采用这种治疗方法后双侧视网膜脱离的长期发生率。
