近视患者透明晶状体摘除术后视网膜脱离的发生率。回顾性分析。
Incidence of retinal detachment following clear-lens extraction in myopic patients. Retrospective analysis.
作者信息
Barraquer C, Cavelier C, Mejía L F
机构信息
Escuela Superior de Oftalmología, Instituto Barraquer de América, Bogotá, Colombia.
出版信息
Arch Ophthalmol. 1994 Mar;112(3):336-9. doi: 10.1001/archopht.1994.01090150066025.
OBJECTIVE
A retrospective study was performed to establish the incidence of retinal detachment among 107 patients (165 eyes) with pathologic myopia who underwent clear-lens extraction.
INTERVENTIONS
The techniques employed were intracapsular extraction (3.0%), aspiration (59.4%), and extracapsular extraction (37.6%); average follow-up was 31 months.
RESULTS
Retinal detachment developed in 12 eyes (7.3%) an average (SD) of 30.7 +/- 26.6 months postoperatively; the mean age of these patients was 34 years. We found a clear association between postoperative YAG laser/surgical posterior capsulotomy and the incidence of retinal detachment (11% vs 5.5%) but no association between intraoperative rupture of the posterior capsule and the ultimate incidence of retinal detachment. The retina was reattached in nine cases (75%).
目的
进行一项回顾性研究，以确定107例（165只眼）接受透明晶状体摘除术的病理性近视患者视网膜脱离的发生率。
干预措施
采用的技术包括囊内摘除术（3.0%）、抽吸术（59.4%）和囊外摘除术（37.6%）；平均随访时间为31个月。
结果
12只眼（7.3%）发生视网膜脱离，平均（标准差）在术后30.7±26.6个月；这些患者的平均年龄为34岁。我们发现术后YAG激光/手术性后囊切开术与视网膜脱离发生率之间存在明显关联（11%对5.5%），但后囊术中破裂与视网膜脱离最终发生率之间无关联。9例（75%）视网膜复位。
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