Tani P, Robertson D M, Langworthy A
Am J Ophthalmol. 1980 Oct;90(4):503-8. doi: 10.1016/s0002-9394(14)75019-6.
Among 173 patients who had rhegmatogenous retinal detachment with spared maculas, high percentage achieved anatomic and functional success. We reattached 171 (99%) of the retinas; 150 (76%) of the eyes had final visual acuities of 6/15 (20/50) or better. Eighteen eyes (10%) had final postoperative visual acuities reduced more than two lines from the preoperative level. This reduced visual acuity was primarily related to postoperative changes occurring in the macula. The prognosis both for anatomic reattachment and visual acuity after scleral buckling for rhegmatogenous retinal detachment is significantly better when the macula is spared than when it is not. Large numbers of cryoapplications were not associated with macular complications.
在173例黄斑未受累的孔源性视网膜脱离患者中，大部分患者获得了解剖和功能上的成功。我们使171例（99%）患者的视网膜复位；150例（76%）患者的最终视力达到6/15（20/50）或更好。18例（10%）患者术后最终视力较术前下降超过两行。视力下降主要与黄斑区术后发生的变化有关。黄斑未受累的孔源性视网膜脱离患者，巩膜扣带术后的解剖复位和视力预后明显优于黄斑受累的患者。大量应用冷冻疗法与黄斑并发症无关。
