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视网膜脱离手术后的双眼视觉功能

Binocular visual function after surgery for detached retina.

作者信息

Amemiya T, Takami H, Yoshida H, Harayama K

出版信息

Graefes Arch Clin Exp Ophthalmol. 1982;218(6):304-6. doi: 10.1007/BF02150444.

Abstract

Binocular visual function after surgery for detached retina was examined in 100 patients with a visual acuity of less than 0.3 in the reattached retina and with a visual acuity of more than 1.0 in the non-detached retina: 1) There was no significant sex difference in binocular visual function. 2) There was no significant difference in binocular visual function according to postoperative interval. 3) Maintenance of postoperative binocular visual function was best in patients under 19 years of age, and grew worse with age. 4) In patients with a visual acuity of more than 0.1 in the reattached retina, simultaneous perception was good in 100%, and fusion in more than 80%. However, stereopsis was worse in most cases. 5) In patients with a visual acuity of less than 0.1 in the reattached retina, all aspects of binocular visual function were worse, except in those under 19 years of age. 6) There was no significant difference in binocular visual function between patients with and without temporary amputation of extrinsic ocular muscles at operation. 7) There was no significant difference in binocular visual function between patients with and without macular detachment before operation. 8) In the patients who had had an encircling operation, binocular visual function was worse than in those operated on with other procedures, because the former had the severest retinal detachment.

摘要

对100例视网膜脱离手术后的患者进行了双眼视觉功能检查,这些患者视网膜复位后的视力低于0.3,未脱离视网膜的视力高于1.0:1)双眼视觉功能在性别上无显著差异。2)双眼视觉功能根据术后时间间隔无显著差异。3)19岁以下患者术后双眼视觉功能维持最佳,且随年龄增长而变差。4)视网膜复位后视力高于0.1的患者,同时视100%良好,融合超过80%。然而,大多数情况下立体视较差。5)视网膜复位后视力低于0.1的患者,除19岁以下者外,双眼视觉功能各方面均较差。6)手术时有无临时切断眼外肌的患者双眼视觉功能无显著差异。7)术前有无黄斑脱离的患者双眼视觉功能无显著差异。8)行环扎手术的患者双眼视觉功能比采用其他手术方式的患者差,因为前者视网膜脱离最严重。

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