Binder S, Riss B
Klin Monbl Augenheilkd. 1981 Aug;179(2):78-80. doi: 10.1055/s-2008-1057265.
The indications for and results of prophylactic treatment of retinal detachment during a period of five years are reported and compared with the results in the literature. Half of the cases (3 out of 6 eyes) which developed a retinal detachment had been horse-shoe tears combined with a vitreous hemorrhage. For this reason a small buckle operation is recommended in these cases, to prevent further traction. Lattice degeneration should rather be observed than treated, except in special cases: This includes eyes where the fellow eye had a detachment from a lattice degeneration, cases in which one eye is blind from an uncured detachment or has no useful visual acuity, and eyes whose fellow eye has giant tears. In aphakic eyes treatment of lattice degeneration is recommended, because the incidence of detachment from these areas is high, especially in young aphakic cases. In one aphakic eye which had been photocoagulated several times the formation of a preretinal membrane was observed.
报告了五年期间视网膜脱离预防性治疗的适应症和结果，并与文献中的结果进行了比较。发生视网膜脱离的病例中有一半（6只眼中的3只）为马蹄形裂孔合并玻璃体积血。因此，建议对这些病例进行小型扣带手术，以防止进一步牵拉。除特殊情况外，格子样变性应观察而非治疗：这包括对侧眼因格子样变性发生过脱离的眼睛、一只眼因未治愈的脱离而失明或无有用视力的病例，以及对侧眼有巨大裂孔的眼睛。在无晶状体眼中，建议对格子样变性进行治疗，因为这些区域发生脱离的发生率很高，尤其是在年轻的无晶状体病例中。在一只多次接受光凝治疗的无晶状体眼中，观察到视网膜前膜的形成。
