Delaney W V, Oates R P
Arch Ophthalmol. 1978 Apr;96(4):629-34. doi: 10.1001/archopht.1978.03910050325006.
Bilateral retinal detachment (RD) occurred in 13% of 737 patients, with an interval between detachments of up to 30 years. Bilateral RD was more common in male patients and in those having more than 3 diopters of myopia. Detachment in the second eye was caused by retinal breaks in previously observed degeneration in 43% and in unsuspected diseased retina 57%. A significant number of patients with bilateral RD had multiple breaks. Aphakic RD occurred in bilateral RD and in unilateral RD patients at a comparable frequency; 28% of bilateral (mean duration, four years) and 35% of unilateral aphakic RDs occurred within one year of cataract surgery. Symptoms from retinal breaks were not reliable prognostic factors; only 39% of patients had warning before RD. Patients with bilateral RD had more reoperations with fewer successes, factors suggesting greater severity than unilateral RD.
737例患者中有13%发生双侧视网膜脱离（RD），两次脱离的间隔时间长达30年。双侧RD在男性患者以及近视超过3屈光度的患者中更为常见。第二眼的脱离43%是由先前观察到的视网膜变性中的视网膜裂孔引起的，57%是由未被怀疑的患病视网膜引起的。相当数量的双侧RD患者有多个裂孔。无晶状体性RD在双侧RD患者和单侧RD患者中出现的频率相当；28%的双侧无晶状体性RD（平均病程4年）和35%的单侧无晶状体性RD发生在白内障手术后1年内。视网膜裂孔的症状不是可靠的预后因素；只有39%的患者在视网膜脱离前有预警。双侧RD患者的再次手术更多，成功率更低，这些因素表明其比单侧RD更严重。
