Forest A, Girard P, Bodard E, Biojout G, Pasticier A, Dumont B
J Fr Ophtalmol. 1979 Feb;2(2):109-14.
We have made a review of 20 retinoschisis without retinal detachment operated on 12 patients. There is no case of hereditary retinoschisis, the affection may occur at any age, and there is no preferential refractive error. Main surgical indications were macular involvement or impending involvement, and associated retinal tears. A good anatomical result has been obtained in 90% of our cases (18 out of 20) with 2/3 complete reattachments and 1/3 almost complete reattachments (with minimal and well sealed residual schisis). Association of cryocoagulation and indentation is more effective than cryocoagulation alone. On the functional point of view we have had 15% of improved visual acuities and 30% of worsened ones, thus surgical intervention implies macular risks that one must try to prevent by using procedures as atraumatic as possible.
我们对12例患者所做的20例未发生视网膜脱离的视网膜劈裂症进行了回顾性研究。无遗传性视网膜劈裂症病例，该病可发生于任何年龄，且无优先的屈光不正情况。主要手术指征为黄斑受累或即将受累以及合并视网膜裂孔。我们90%的病例（20例中的18例）获得了良好的解剖学结果，其中2/3完全复位，1/3几乎完全复位（残余劈裂极小且封闭良好）。冷凝联合压陷术比单纯冷凝术更有效。从功能角度来看，我们有15%的患者视力提高，30%的患者视力下降，因此手术干预存在黄斑风险，必须尽可能采用无创手术来预防。
