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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。

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