Il'nitskiĭ V V, Saksonova E O, Gur'eva N V, Georgiev N, Balashova L M
Vestn Oftalmol. 1993 Jul-Sep;109(4):18-20.
The problem of retinal detachment prevention is closely connected with a competent diagnosis of peripheral vitreochorioretinal dystrophies (PVCRD). The present research was aimed at analysis of PVCRD incidence in myopia of various degree and of the incidence of pathologic shifts requiring prophylactic laser coagulation or cryopexy. A total of 1022 patients (2044 eyes) with myopia of various degrees aged 5 to 58 were examined. Sclerocompression method was used in ophthalmoscopy in all the cases. PVCRD were diagnosed in 73.2% of patients. The detection rate of this condition was directly proportional to myopia degree; 52.6% in weak myopia, 70.7% in medium-grave myopia, 86.4% in high myopia. The detected patients with PVCRD were in need of preventive treatment whatever myopia degree: 38.7% of those with weak myopia, 46.9% of those with medium-grave myopia, and 46.5% of those with high myopia, 42.4% of patients with myopia on an average. Detachment of the retina was diagnosed in 4% of patients with myopia, in 0.5% surgical treatment of this condition was needed, and in 3.5% it was subclinical, this permitting a prophylactic laser coagulation.
视网膜脱离预防问题与周边玻璃体脉络膜视网膜营养不良(PVCRD)的准确诊断密切相关。本研究旨在分析不同程度近视患者中PVCRD的发病率以及需要预防性激光凝固或冷冻治疗的病理改变的发生率。共检查了1022例年龄在5至58岁之间的不同程度近视患者(2044只眼)。所有病例均采用巩膜压迫法进行检眼镜检查。73.2%的患者被诊断为PVCRD。这种情况的检出率与近视程度成正比;轻度近视患者中为52.6%,中度重度近视患者中为70.7%,高度近视患者中为86.4%。无论近视程度如何,检测出患有PVCRD的患者都需要进行预防性治疗:轻度近视患者中有38.7%,中度重度近视患者中有46.9%,高度近视患者中有46.5%,平均有42.4%的近视患者需要治疗。4%的近视患者被诊断为视网膜脱离,其中0.5%的患者需要进行手术治疗,3.5%为亚临床视网膜脱离,这使得可以进行预防性激光凝固治疗。