Starzycka M, Górniak-Bednarz A, Kobylarz J, Ortyl E
Katedry i Kliniki Okulistyki oraz z Pracowni Angiograficzno-Retinologicznej Collegium Medicum UJ, Krakowie.
Klin Oczna. 1993 Sep-Oct;95(9-10):348-50.
The studies comprised 531 patients (544 eyes) who underwent retinal detachment surgery in the Ophthalmological Clinic in Cracow, in the years 1983-1992. Drainage of subretinal fluid was performed in 54.6% of the eyes and in this group attachment of the retina was achieved in 72.4% of cases; in the group of patients with nondrainage operations it was 74.5%. Intraocular haemorrhages, the only complications, which may be attributed to the drainage of subretinal fluid were found in 18.9% of eyes with drainage and in 8.1% without; this difference was statistically significant (p < 0.01). Statistically significant relationship (p < 0.01) was also found between subretinal fluid drainage and severity of the retinal detachment. The results showed that there were no significant relationships between drainage of subretinal fluid and the results of surgery and that it is indicated first of all in severe cases of retinal detachment in which method of choice is an encirclement procedure.
这些研究涵盖了1983年至1992年间在克拉科夫眼科诊所接受视网膜脱离手术的531名患者(544只眼)。54.6%的眼睛进行了视网膜下液引流,在该组中72.4%的病例实现了视网膜附着;在未进行引流手术的患者组中,这一比例为74.5%。眼内出血是唯一可能归因于视网膜下液引流的并发症,在进行引流的眼睛中,18.9%出现了眼内出血,未进行引流的眼睛中这一比例为8.1%;这一差异具有统计学意义(p<0.01)。视网膜下液引流与视网膜脱离的严重程度之间也存在统计学意义的关系(p<0.01)。结果表明,视网膜下液引流与手术结果之间没有显著关系,并且首先适用于视网膜脱离严重的病例,在这些病例中首选的方法是环扎手术。