伴有人工晶状体的视网膜脱离

Retinal detachment with intraocular lenses.

作者信息

Shepard D D

出版信息

J Am Intraocul Implant Soc. 1978 Apr;4(2):55. doi: 10.1016/s0146-2776(78)80056-1.

Abstract

Of 740 patients undergoing intracapsular cataract extraction with intraocular lens implantation by the same surgeon, 18 (2.43) experienced retinal detachment. Analysis of the data of these 18 patients reveals:--the series covered 6.25 years (75 months).--there were 13 males and 5 females (72% males).--their average age at the time of cataract surgery was 63.--the median duration between cataract surgery and retinal detachment was 11 months. The shortest interval was 5 weeks, the longest was 39 months.--a predisposing fall was documented in 17%.--33% suffered vitreous loss at the time of cataract extraction.--of the 18 patients, 15 (83%) underwent retinopexy; of the remaining 3, one eye (6%) was not repairable and 2 patients (11%) refused detachment surgery.--only 6 (33%) of the 18 achieved useful post-detachment vision.

摘要

在同一位外科医生进行的740例囊内白内障摘除联合人工晶状体植入手术患者中，18例（2.43%）发生了视网膜脱离。对这18例患者的数据分析显示：——该系列涵盖6.25年（75个月）。——有13名男性和5名女性（男性占72%）。——他们白内障手术时的平均年龄为63岁。——白内障手术与视网膜脱离之间的中位间隔时间为11个月。最短间隔为5周，最长为39个月。——17%的患者有诱发跌倒的记录。——33%的患者在白内障摘除时发生了玻璃体丢失。——在这18例患者中，15例（83%）接受了视网膜固定术；其余3例中，1只眼（6%）无法修复，2例患者（11%）拒绝进行脱离手术。——18例中只有6例（33%）在脱离后获得了有用视力。