Everett W G, Sorr E M
Int Ophthalmol Clin. 1977 Winter;17(4):187-91.
It is hoped that the results of surgery for retinal detachment after surgery for congenital cataract, when discission and aspiration or phacoemulsification under the microscope are used, will approach the present reattachment rate that has been achieved with improved examination, instrumentation, and surgical technique in cases of senile retinal detachment. Further studies of the role of retinal pathology as lattice degeneration, vitreous pathology, and the place for prophylactic cryotherapy all must be reevaluated. In summary, the low incidence of retinal detachment following the extraction of congenital cataracts as seen in major retinal referral centers suggests that the risks of detachment are not as high as previously reported, that the cure rate approaches that of senile aphakic detachment; therefore early operative intervention to prevent amblyopia, nystagmus, and strabismus is indicated.
希望在先天性白内障手术后采用切开及抽吸术或显微镜下超声乳化术治疗视网膜脱离时,其结果能接近目前在老年性视网膜脱离病例中通过改进检查、器械和手术技术所达到的复位率。必须重新评估视网膜病理(如格子样变性)、玻璃体病理的作用以及预防性冷冻疗法的应用时机。总之,主要视网膜转诊中心所见先天性白内障摘除术后视网膜脱离的低发生率表明,脱离风险并不像先前报道的那么高,治愈率接近老年性无晶状体性视网膜脱离;因此,为预防弱视、眼球震颤和斜视,应尽早进行手术干预。