Girard P, Goichot L, Saragoussi J J, Merad I, Forest A
J Fr Ophtalmol. 1982;5(11):681-5.
We have found a global bilateral retinal detachments (R.D.) rate of 15,52% over a population of 1148 patients. 60% of these bilateral R.D. have been seen by us for the first time at the moment of the detachment of the second eye. The actual percentage of R.D. on a second eye that was free of any R.D. at the first examination is 3,5% only, and it climbs to 4,45% if we consider only the second eyes harboring dangerous peripheral retinal lesions. This result compares favourably to the 10% to 20% second eye R.D. rate in the absence of preventive treatment; it has been obtained through a systematic prophylaxy of all retinal breaks and almost all lattice, snowflake, and schisis by cryoapplication or xenon photocoagulation or mostly argon laser photocoagulation. In the absence of any peripheral retinal lesion systematic equatorial argon laser circular photocoagulations can be useful.
我们发现在1148名患者中,双侧视网膜脱离(R.D.)的总体发生率为15.52%。其中60%的双侧视网膜脱离患者是在第二只眼发生视网膜脱离时我们首次发现的。在首次检查时未发生任何视网膜脱离的第二只眼中,实际发生视网膜脱离的比例仅为3.5%,如果仅考虑存在危险周边视网膜病变的第二只眼,这一比例则升至4.45%。这一结果优于在未进行预防性治疗情况下10%至20%的第二只眼视网膜脱离发生率;这是通过对所有视网膜裂孔以及几乎所有格子样、雪花样和视网膜劈裂病变进行系统性预防获得的,预防方法包括冷冻治疗、氙光凝或主要是氩激光光凝。在不存在任何周边视网膜病变的情况下,系统性赤道部氩激光环形光凝可能会有帮助。