Kreissig I
Mod Probl Ophthalmol. 1977;18:415-29.
A prospective analysis of macular function in 266 retinal detachment patients has been made. All of the patients were reattached by using cryopexy, and an external sponge technique. No drainage was done in 90% of the cases. To correlate the preoperative detachment with the postoperative function, the area of detachment in the posterior pole was measured and divided into five groups on the basis of the extension of the detached retina in the area of the macula and around the disc. The validity of this presurgical grouping was tested by postsurgical evaluation of visual acuity, light-sensitivity threshold, and metamorphopsia. Visual acuity was tested over a period of 1 year. Recovery of macular function appears to be dependent upon (1) presurgical extension and elevation of the macular detachment; (2) it duration; (3) the age of the patient, and (4) the degree of myopia.
对266例视网膜脱离患者的黄斑功能进行了前瞻性分析。所有患者均采用冷冻疗法和外垫压技术进行视网膜复位。90%的病例未进行引流。为了将术前视网膜脱离情况与术后功能相关联，测量了后极部脱离区域的面积，并根据黄斑区及视盘周围视网膜脱离的范围将其分为五组。通过术后视力、光敏感度阈值和视物变形的评估来检验这种术前分组的有效性。视力测试持续了1年。黄斑功能的恢复似乎取决于：（1）术前黄斑脱离的范围和高度；（2）其持续时间；（3）患者年龄；（4）近视程度。
