Ouertani A, Zhioua R, el Euch M, Mili I
Service d'Ophtalmologie, Hôpital Charles Nicolle, Tunis, Tunisie.
J Fr Ophtalmol. 1994;17(6-7):388-93.
We report 48 cases of retinal detachment in 39 patients under the age of 20. These cases represent 12.6% of all retinal detachment cases. They are characterized by their numerous etiologies mainly traumatic (36%) and congenital detachment (36%). They are also characterized by delayed diagnosis (4 months), frequency of macula involvement (92%) and the large area of detachment (total retinal detachment in 48%). Thirty-six out of the 48 eyes were operated on. Surgical treatment consisted in episcleral surgery in 65% of the cases, associated with vitreoretinal surgery in 35% of the cases. Complete anatomic success was achieved in 78.4% of the eyes, localized retinal detachment without macula involvement remained in 5.4% of the cases. Vision between 1/20 and 2/10 was obtained in 41% of the eyes, and superior or equal to 2/10 in 24% of the eyes. These results depended mainly on the aetiology. In conclusion, we obtained good recuperation in operated cases of juvenile retinal detachment even in delayed diagnosis cases.
我们报告了39例20岁以下患者的48例视网膜脱离病例。这些病例占所有视网膜脱离病例的12.6%。其特点是病因众多，主要为外伤性（36%）和先天性脱离（36%）。它们还具有诊断延迟（4个月）、黄斑受累频率高（92%）和脱离面积大（48例为全视网膜脱离）的特点。48只眼中有36只接受了手术。手术治疗中，65%的病例采用巩膜外手术，35%的病例联合玻璃体视网膜手术。78.4%的眼睛实现了完全解剖成功，5.4%的病例仍存在未累及黄斑的局限性视网膜脱离。41%的眼睛视力在1/20至2/10之间，24%的眼睛视力优于或等于2/10。这些结果主要取决于病因。总之，即使在诊断延迟的情况下，我们对青少年视网膜脱离手术病例也取得了良好的恢复效果。
