Laatikainen L
Acta Ophthalmol (Copenh). 1985 Oct;63(5):546-51. doi: 10.1111/j.1755-3768.1985.tb05243.x.
During a 4-year period, 1978-1981, 312 patients were operated on for unilateral rhegmatogenous detachment of the retina. Of the fellow eyes, 11% showed moderate (VA 0.15-0.4) and 5% severe (VA less than or equal to 0.1) visual impairment. Of the fellow eyes 49% were myopic (- 1.0 D. or more), and aphakia was present in 14%. Details of the peripheral fundus were adequately recordable for 260 fellow eyes. Degenerations considered to predispose to retinal detachment were found in 98 eyes (38%): lattice degeneration in 54 (21%), granular tuft in 17 (7%), retinal tear(s) in 12 (5%), and retinoschisis in 15 (6%). Prophylactic treatment of predisposing degenerations was performed in 91 of the 98 eyes using cryo- or photocoagulation (argon laser). No intra- or permanent post-operative complications were noticed. One of the treated fellow eyes (1.1%) detached 10 months after prophylactic treatment due to new tears. In the untreated group, 6 of the 221 eyes detached (2.7%). The difference was not statistically significant, but the groups were not comparable because 93% of the eyes showing predisposing degenerations were treated. None of the eyes treated for retinal breaks or lattice degeneration has detached. In these cases prophylactic treatment of the fellow eye is recommended. In most eyes cryocoagulation seems to be preferable to photocoagulation.
在1978年至1981年的4年期间，312例患者接受了单侧孔源性视网膜脱离手术。在对侧眼中，11%有中度视力损害（视力0.15 - 0.4），5%有重度视力损害（视力小于或等于0.1）。对侧眼49%为近视（-1.0 D或更高），14%存在无晶状体眼。260只对侧眼的周边眼底细节有充分记录。发现98只眼（38%）存在被认为易导致视网膜脱离的病变：54只眼（21%）为格子样变性，17只眼（7%）为颗粒状簇，12只眼（5%）有视网膜裂孔，15只眼（6%）为视网膜劈裂。98只眼中的91只对易导致病变的情况进行了预防性治疗，采用冷冻或光凝（氩激光）。未发现术中或术后永久性并发症。1只接受治疗的对侧眼（1.1%）在预防性治疗10个月后因新裂孔而发生视网膜脱离。在未治疗组中。221只眼中有6只发生视网膜脱离（2.7%）。差异无统计学意义，但两组不具有可比性，因为93%显示有易导致病变的眼接受了治疗。接受视网膜裂孔或格子样变性治疗的眼中无一只发生视网膜脱离。在这些情况下，建议对侧眼进行预防性治疗。在大多数眼中，冷冻凝固似乎比光凝更可取。
