Le Mesurier R, Vickers S, Booth-Mason S, Chignell A H
Br J Ophthalmol. 1985 Oct;69(10):737-41. doi: 10.1136/bjo.69.10.737.
A study of 132 cases of aphakic retinal detachment (ARD) following mainly intracapsular cataract surgery has been made. Forty-nine cases (37%) were found to have vitreous incarcerated into the cataract section out of a total of 54 (41%) cases who had suffered a vitreous complication during cataract surgery. A study of the characteristics of ARD reveals that those cases having had a vitreous complication in the management of their cataracts are more likely to develop detachment within three months than those not suffering from such a complication. The occurrence of these early post-extraction retinal detachments is not influenced by the presence of underlying axial myopia. When we compared ARD in patients whose cataract extractions had been complicated by vitreous incarceration with those ARDs following uncomplicated cataract surgery, we found that the characteristics of the detachments were very similar. Thus distribution of underlying myopia, extent of detachment, length of time of detachment, and multiplicity and type of retinal holes were generally similar. However, ARD following complicated cataract surgery is more likely to suffer from periretinal fibrosis. The findings confirmed the risk of ARD following complicated intracapsular cataract surgery and support the tendency to perform the extracapsular operation.
对主要因囊内白内障手术导致的132例无晶状体性视网膜脱离（ARD）病例进行了研究。在白内障手术期间发生玻璃体并发症的54例（41%）病例中，有49例（37%）发现玻璃体嵌顿于白内障切口处。对ARD特征的研究表明，在白内障治疗过程中发生玻璃体并发症的病例比未发生此类并发症的病例更有可能在三个月内发生视网膜脱离。这些早期拔牙后视网膜脱离的发生不受潜在轴性近视的影响。当我们将白内障摘除并发玻璃体嵌顿患者的ARD与白内障手术未发生并发症后的ARD进行比较时，我们发现视网膜脱离的特征非常相似。因此，潜在近视的分布、脱离范围、脱离时间长度以及视网膜裂孔的多发性和类型通常相似。然而，复杂白内障手术后的ARD更易发生视网膜周围纤维化。这些发现证实了复杂囊内白内障手术后发生ARD的风险，并支持进行囊外手术的趋势。
