Billington B M, Leaver P K
Graefes Arch Clin Exp Ophthalmol. 1986;224(1):7-10. doi: 10.1007/BF02144123.
Sixty-five eyes with giant retinal tears previously reviewed at 6 months after vitrectomy and fluid/silicone-oil exchange were again reviewed 18 months after surgery. The retina remained attached in 54 eyes (83%), and of these 32 (57%) had visual acuities of 6/60 or better. Poor acuities were attributed in most cases to cataract associated with silicone-oil contact or macular damage from preoperative macular detachment. Glaucoma occurred chiefly in those eyes which were aphakic prior to surgery, or were rendered aphakic at surgery, but did not influence the visual outcome at this stage. Encouraging results of surgery after 6 months were confirmed after 18 months, although the level of vision had fallen in some cases due to the development of lens opacities.
对65只曾在玻璃体切除术联合液体/硅油置换术后6个月接受复查的巨大视网膜裂孔眼,于术后18个月再次进行复查。54只眼(83%)的视网膜保持附着,其中32只眼(57%)的视力为6/60或更好。在大多数情况下,视力不佳归因于与硅油接触相关的白内障或术前黄斑脱离导致的黄斑损伤。青光眼主要发生在术前无晶状体或手术中变为无晶状体的眼中,但在这个阶段不影响视力结果。尽管在某些病例中由于晶状体混浊的发展视力有所下降,但术后6个月时令人鼓舞的手术结果在18个月时得到了证实。