Zion V M, Burton T C
Arch Ophthalmol. 1980 Nov;98(11):1971-4. doi: 10.1001/archopht.1980.01020040823005.
Analysis of 196 patients with retinal dialysis indicated that unilateral nasal and superior dialyses almost invariably were produced by trauma (87.5%). A traumatic cause is proposed for unilateral inferotemporal dialyses, which also had an inordinately high rate of trauma (56%). Bilateral retinal dialyses, making up 14% of all cases, had a much lower incidence of trauma. A nongenetic, developmental anomaly at the ora serrata may account for some bilateral cases. In all types of dialyses, women acknowledged trauma less frequently than men, which probably reflects a sociologic tendency for women to deny physical abuse. Twelve percent of dialysis patients had ocular hypertension exceeding 22 mm Hg and 16% had angle recessions. Successful detachment surgery normalized the intraocular pressure in most cases without additional filtering surgery or medications.
对196例视网膜脱离患者的分析表明，单侧鼻侧和上方视网膜脱离几乎均由外伤引起（87.5%）。单侧颞下视网膜脱离也提出了外伤原因，其外伤发生率也极高（56%）。双侧视网膜脱离占所有病例的14%，外伤发生率则低得多。锯齿缘的非遗传性发育异常可能是部分双侧病例的病因。在所有类型的视网膜脱离中，女性承认外伤的频率低于男性，这可能反映了女性否认身体虐待的社会倾向。12%的视网膜脱离患者眼压超过22 mmHg，16%有房角后退。大多数情况下，成功的视网膜脱离手术可使眼压恢复正常，无需额外的滤过手术或药物治疗。
