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视网膜脱离与人工晶状体

Retinal detachments and intraocular lenses.

作者信息

Jungschaffer O H

出版信息

Int Ophthalmol Clin. 1979 Fall;19(3):125-37.

PMID:391736
Abstract
  1. Increasingly more patients with PPRD are seen. A retinal detachment can occur after any type of implant or cataract extraction. 2. The pseudophakic patient is better equipped than the aphakic patient to recognize symptoms of a retinal detachment, and most PPRDs are seen soon after they occur. 3. Visual access to the retina is sometimes decreased. The IOL requires more precautions. Hazy media and lens remnants are a major handicap, and the examination is more difficult and time-consuming. 4. Characteristic pseudophakogenic retinal changes or breaks are not obvious. Retinal tears are small and located near the ora serrata retinae. 5. When the breaks are found, the lengthy examination can be followed by a simple scleral buckle with minimal insult to the eye. When the breaks are not found, the treatment is extensive. 6. The anatomical and visual results are comparable to results of other rhegmatogeneous retinal detachments.
摘要
  1. 越来越多的患者被诊断为PPRD。任何类型的植入物或白内障摘除术后都可能发生视网膜脱离。2. 人工晶状体眼患者比无晶状体眼患者更能识别视网膜脱离的症状,大多数PPRD在发生后不久就被发现。3. 有时视网膜的可视性会降低。人工晶状体需要更多的预防措施。混浊的介质和晶状体残余物是一个主要障碍,检查更加困难且耗时。4. 典型的人工晶状体性视网膜改变或裂孔并不明显。视网膜裂孔较小,位于锯齿缘附近。5. 当发现裂孔时,长时间检查后可进行简单的巩膜扣带术,对眼睛的损伤最小。当未发现裂孔时,治疗则较为广泛。6. 解剖和视觉结果与其他孔源性视网膜脱离的结果相当。

相似文献

1
Retinal detachments and intraocular lenses.视网膜脱离与人工晶状体
Int Ophthalmol Clin. 1979 Fall;19(3):125-37.
2
Pars plana vitrectomy without scleral buckle for pseudophakic retinal detachments.无巩膜扣带的平坦部玻璃体切除术治疗人工晶状体眼视网膜脱离
Ophthalmology. 1999 Sep;106(9):1811-5; discussion 1816. doi: 10.1016/S0161-6420(99)90353-6.
3
Anatomic and visual outcomes of scleral buckling versus primary vitrectomy in pseudophakic and aphakic retinal detachment: six-month follow-up results of a single operation--report no. 1.人工晶状体眼和无晶状体眼视网膜脱离行巩膜扣带术与一期玻璃体切除术的解剖及视觉效果:单手术组6个月随访结果——报告1
Ophthalmology. 2005 Aug;112(8):1421-9. doi: 10.1016/j.ophtha.2005.02.018.
4
Rhegmatogenous retinal detachment in phakic eyes after posterior chamber phakic intraocular lens implantation for severe myopia.高度近视患者后房型有晶状体眼人工晶状体植入术后晶状体源性视网膜脱离
Ophthalmology. 2005 Apr;112(4):580-5. doi: 10.1016/j.ophtha.2004.09.025.
5
Combined pars plana vitrectomy and scleral buckling for pseudophakic and aphakic retinal detachments in which a break is not seen preoperatively.对于术前未发现裂孔的人工晶状体眼和无晶状体眼视网膜脱离,采用玻璃体切割联合巩膜扣带术。
Ophthalmic Surg Lasers. 1997 Sep;28(9):718-22.
6
Pseudophakic retinal detachments. The relationships between retinal tears and the time following cataract surgery at which they occur.
Retina. 1989;9(3):181-6.
7
[Retinal detachment in pseudophakia].
Klin Oczna. 1990 Jul;92(1-2):20-1.
8
[Vitrectomy for pseudophakic retinal detachment].
Zhonghua Yan Ke Za Zhi. 2000 Mar;36(2):104-6.
9
Combined scleral buckle and pars plana vitrectomy as a primary procedure for pseudophakic retinal detachments.巩膜环扎术联合玻璃体切除术作为人工晶状体眼视网膜脱离的初始手术方法
Ophthalmic Surg Lasers. 1999 Sep-Oct;30(8):615-8.
10
Retinal detachment in patients with retained lens fragments or dislocated posterior chamber intraocular lenses.伴有晶状体碎片残留或后房型人工晶状体脱位患者的视网膜脱离
Ophthalmic Surg Lasers. 1996 Oct;27(10):856-61.

引用本文的文献

1
Response to letter to the editor Re: Baumgarten et al.: Vitrectomy with and without encircling band for pseudophakic retinal detachment with inferior breaks: VIPER study report no. 3. Graefes Arch Clin Exp Ophthalmol. 2018 Nov;256(11):2069-2073. doi: 10.1007/s00417-018-4106-6. Epub 2018 Aug 23.致编辑的信的回复 主题:鲍姆加滕等人:有或没有环扎带的玻璃体切除术治疗伴有下方裂孔的人工晶状体眼视网膜脱离:VIPER研究报告第3号。《格拉夫斯临床与实验眼科学文献》。2018年11月;256(11):2069 - 2073。doi: 10.1007/s00417-018-4106-6。2018年8月23日在线发表。
Graefes Arch Clin Exp Ophthalmol. 2019 Apr;257(4):845-846. doi: 10.1007/s00417-019-04269-3. Epub 2019 Feb 19.
2
Pseudophakic retinal detachment.人工晶状体眼视网膜脱离
Trans Am Ophthalmol Soc. 1982;80:45-63.