Bonnet M, Hajjar C, Fleury J
Clinique Ophtalmologique Universitaire B, UER Lyon Nord, Hôpital de la Croix-Rousse.
J Fr Ophtalmol. 1993;16(4):235-40.
We reviewed the clinical files of 314 patients (341 eyes) affected by rhegmatogenous retinal detachment who were operated on before any failed attempt to reattach the retina. The study was conducted to elucidate the clinical and prognostic value of subretinal proliferation. Clinical evidence of subretinal proliferation visible at preoperative examination was more frequent in eyes with retinal detachments related to retinogenic retinal breaks (oral dialyses, atrophic holes in lattice) (32.35%) as compared to retinal detachments associated with horse-shoe tears (4.60%) (P < 0.001). The mean duration of retinal detachments with subretinal proliferation was 12 months (range: 3 months to 5 years). Postoperative proliferative vitreoretinopathy occurred in 2.27% (1/44 eyes) of retinal detachments with subretinal proliferation compared with 6.73% (20/297 eyes) of retinal detachments without subretinal proliferation. Permanent retinal reattachment was achieved in all eyes with subretinal proliferation. However postoperative visual acuity of 20/40 or better was obtained in only 34% (15/44 eyes) of eyes with subretinal proliferation compared with 58% (160/275 eyes) of retinal detachments without subretinal proliferation (P < 0.01).
我们回顾了314例（341只眼）孔源性视网膜脱离患者的临床资料，这些患者均在任何视网膜复位失败尝试之前接受了手术。本研究旨在阐明视网膜下增殖的临床和预后价值。术前检查可见视网膜下增殖的临床证据在与视网膜源性视网膜裂孔（视网膜脱离、格子样变性萎缩孔）相关的视网膜脱离眼中更为常见（32.35%），而与马蹄形裂孔相关的视网膜脱离眼则为4.60%（P<0.001）。伴有视网膜下增殖的视网膜脱离平均持续时间为12个月（范围：3个月至5年）。伴有视网膜下增殖的视网膜脱离术后增殖性玻璃体视网膜病变发生率为2.27%（1/44只眼），而无视网膜下增殖的视网膜脱离为6.73%（20/297只眼）。所有伴有视网膜下增殖的眼均实现了视网膜永久性复位。然而，伴有视网膜下增殖的眼中只有34%（15/44只眼）术后视力达到20/40或更好，而无视网膜下增殖的视网膜脱离眼为58%（160/275只眼）（P<0.01）。
