Brod R D, Flynn H W, Lightman D A
Department of Ophthalmology, Hershey (Pa) Medical Center, USA.
Arch Ophthalmol. 1995 Aug;113(8):1030-2. doi: 10.1001/archopht.1995.01100080082032.
To describe the clinical characteristics and risk of progression of asymptomatic rhegmatogenous retinal detachments.
We retrospectively reviewed the clinical records of 28 patients (31 eyes) with asymptomatic rhegmatogenous retinal detachments followed up without surgery for 0.5 to 12.1 years (mean, 3.4 years). Tractional tears were present in six eyes and atrophic holes in 25 eyes. In five patients, the asymptomatic retinal detachment was noted when the patient presented with a symptomatic retinal detachment in the fellow eye.
Twenty-nine of the 31 eyes remained asymptomatic without progression of the retinal detachment. Two eyes progressed to a symptomatic retinal detachment 2.25 and 3.3 years after the initial examination, underwent a successful scleral buckling procedure, and maintained 20/20 visual acuity.
Observation can be considered a reasonable option in the treatment of patients with asymptomatic retinal detachments. Chart documentation of the risks and benefits of observation and instruction of the patient on self-monitoring of the peripheral visual field are necessary in such patients.
描述无症状孔源性视网膜脱离的临床特征及进展风险。
我们回顾性分析了28例（31只眼）无症状孔源性视网膜脱离患者的临床记录，这些患者未接受手术随访0.5至12.1年（平均3.4年）。6只眼存在牵拉性裂孔，25只眼存在萎缩性裂孔。5例患者在对侧眼出现症状性视网膜脱离时被发现存在无症状性视网膜脱离。
31只眼中有29只眼仍无症状，视网膜脱离未进展。2只眼在初次检查后2.25年和3.3年进展为症状性视网膜脱离，接受巩膜扣带术成功，视力维持在20/20。
对于无症状视网膜脱离患者，观察可被视为一种合理的治疗选择。对此类患者，记录观察的风险和益处并指导患者进行周边视野自我监测是必要的。
