Rachal W F, Burton T C
Arch Ophthalmol. 1979 Mar;97(3):480-3. doi: 10.1001/archopht.1979.01020010230008.
One thousand eighty-eight consecutive operations for retinal detachment were analyzed to determine the influence of current methods of examination and treatment on failures following surgery. The majority of failures were produced by preretinal membranes formation (33%) and massive preretinal retraction (27%). Other causes of failure included undetected retinal breaks (13%), inadequate scleral buckel (10%), new retinal breaks (8%), inadequate chorioretinal reaction (7%), and iatrogenic retinal breaks (2%). Primary operations yielded an initial cure rate of 76%. Successful reoperations raised the final cure rate to 89%. Reoperations were associated more frequently with preretinal membrane formation and chance of recognition and management of preretinal membrane formation. Except for new retinal tears and massive preretinal retraction, surgical failures can be avoided by improved utilization of current examination and operative techniques.
对连续1088例视网膜脱离手术进行分析，以确定当前的检查和治疗方法对术后失败情况的影响。大多数失败是由视网膜前膜形成（33%）和大量视网膜前收缩（27%）导致的。其他失败原因包括未检测到的视网膜裂孔（13%）、巩膜扣带不充分（10%）、新的视网膜裂孔（8%）、脉络膜视网膜反应不足（7%）以及医源性视网膜裂孔（2%）。初次手术的初始治愈率为76%。成功的再次手术将最终治愈率提高到89%。再次手术与视网膜前膜形成以及视网膜前膜形成的识别和处理机会更为相关。除了新的视网膜裂孔和大量视网膜前收缩外，通过更好地利用当前的检查和手术技术可以避免手术失败。
