Bonnet M, Le Nail B
J Fr Ophtalmol. 1980;3(2):83-9.
Certain macular lesions which impair the visual results of successful retinal detachment surgery result from the treatment itself. The causes of the macular lesions due to surgery are reviewed. The incidence of those lesions is likely to be decreased by microsurgery which allows for a well controlled surgery. In a series of 100 consecutive retinal detachments successfully operated on by microsurgery--out of 111 consecutive cases operated on--visual acuity of 5/10 or Better was achieved in 45% of the cases, and reading acuity of Parinaud 3 or Better was achieved in 70% of the cases. Neither macular pigment migration nor macular hemorrhage were observed in this series. Nevertheless the incidence of macular pucker due to surgery is 2% and the incidence of cystoid macular edema is 3%. As the incidence of the latter complications is lower in this series than in a previous series the authors believe that the frequency of the macular complications of retinal detachment surgery should be even lower in future with a wider experience of microsurgery.
某些影响视网膜脱离手术成功视觉效果的黄斑病变是由治疗本身引起的。本文回顾了手术导致黄斑病变的原因。通过允许进行良好控制的手术的显微手术，这些病变的发生率可能会降低。在连续111例接受手术的病例中，有100例通过显微手术成功治疗视网膜脱离，其中45%的病例视力达到5/10或更好，70%的病例阅读视力达到帕利诺3级或更好。在该系列中未观察到黄斑色素迁移或黄斑出血。然而，手术引起的黄斑皱襞发生率为2%，黄斑囊样水肿发生率为3%。由于本系列中后一种并发症的发生率低于先前系列，作者认为随着显微手术经验的增加，未来视网膜脱离手术黄斑并发症的发生率应会更低。
