Cleary P E, Leaver P K
Br J Ophthalmol. 1978 Sep;62(9):595-603. doi: 10.1136/bjo.62.9.595.
Sixty-six patients in whom the macula was detached before surgery were observed for at least 1 year after retinal reattachment. Macular abnormalities were recognised clinically in most patients with severely reduced vision. Failure of retinal receptor regeneration or receptor misalignment may account for visual reduction in a minority of patients but may be less important as a cause of reduced visual acuity than was previously supposed. This study confirms that the visual prognosis is related to the duration of the detachment before surgery, and patients with a macular detachment for 2 months or longer are likely to suffer persistently reduced vision.
66例术前黄斑脱离的患者在视网膜复位后至少观察了1年。大多数视力严重下降的患者在临床上可识别出黄斑异常。视网膜感受器再生失败或感受器排列不齐可能是少数患者视力下降的原因，但作为视力下降的原因，其重要性可能比之前认为的要小。本研究证实，视觉预后与术前脱离的持续时间有关，黄斑脱离2个月或更长时间的患者可能会持续视力下降。
