Lucke K, Laqua H
Klin Monbl Augenheilkd. 1985 Jul;187(1):17-20. doi: 10.1055/s-2008-1050980.
A series of 500 consecutive pars plana vitrectomies was evaluated with regard to retinal complications. If the retina is attached preoperatively the risk of retinal complications is only 2.0%; however, in cases with preoperative detachment it rises to 9.2%. When membrane peeling is performed the risk rises by a further 7.3%. These statistics support the view that early vitrectomy is today a safe operation in cases with a simple initial anatomical situation. In contrast, late vitrectomy in cases where the initial anatomical situation is complex and membrane-peeling has to be performed is necessarily associated with a higher rate of complications.
对连续500例扁平部玻璃体切除术的视网膜并发症进行了评估。如果术前视网膜是附着的,视网膜并发症的风险仅为2.0%;然而,术前视网膜脱离的病例中,该风险升至9.2%。进行膜剥离时,风险会进一步上升7.3%。这些统计数据支持了这样一种观点,即如今在初始解剖情况简单的病例中,早期玻璃体切除术是一种安全的手术。相比之下,在初始解剖情况复杂且必须进行膜剥离的病例中进行晚期玻璃体切除术,必然会有更高的并发症发生率。