Toyofuku H, Hirose T, Schepens C L
Arch Ophthalmol. 1980 Apr;98(4):669-75. doi: 10.1001/archopht.1980.01020030663003.
One hundred fourteen eyes of patients with retinal detachment occurring after congenital cataract surgery were studied. Retinal detachment was typified by high incidences of men, myopia, preference for the second and fourth decades of life, and a fairly long interval after cataract surgery. Frequently found were the following: (1) undetected retinal breaks, (2) high incidences of small oval or round holes in the upper nasal quadrant near the ora serrata, (3) retinal detachment in more than one quadrant, and (4) extensive vitreous and preretinal traction. Preoperative examination was often hampered by a small, bound-down pupil, nystagmus, extreme photophobia, and an inability to move the eye in desired directions. The major factor in the pathogenesis of retinal detachment after congenital cataract surgery appears to be chronic vitreoretinal traction in the anterior vitreous caused by cataract removal.
对114例先天性白内障手术后发生视网膜脱离的患者的眼睛进行了研究。视网膜脱离的特点是男性发病率高、近视、好发于第二和第四个十年，以及白内障手术后间隔时间较长。常见的情况如下：（1）未检测到的视网膜裂孔；（2）锯齿缘附近上鼻象限小椭圆形或圆形孔的高发病率；（3）多个象限的视网膜脱离；（4）广泛的玻璃体和视网膜前牵引。术前检查常常受到小而固定的瞳孔、眼球震颤、极度畏光以及无法向期望方向移动眼睛的阻碍。先天性白内障手术后视网膜脱离发病机制的主要因素似乎是白内障摘除引起的前玻璃体慢性玻璃体视网膜牵引。
