Toshino A, Kusaka S, Ohashi Y, Sakaue E
Department of Ophthalmology, Ehime University School of Medicine, Japan.
Nippon Ganka Gakkai Zasshi. 1997 Nov;101(11):862-5.
We retrospectively investigated long-term visual recovery in 32 macular reattached eyes which had been followed up for more than five years after surgery. In 17 eyes (53%), the best-corrected visual acuity at 5 years after surgery was > or = 2 lines better than best-corrected visual acuity at 3 months postoperatively. For these 17 eyes, the mean visual acuity continued to improve for up to 10 years after surgery. In the other 15 eyes, visual acuity changes were within 1 line. Improvement of long-term postoperative visual acuity was found to be statistically correlated with younger age, no or mild myopia (< -5D) and shorter duration of macular detachment (< or = 30 days). Surgeons should be aware that the visual function of reattached retinas may recover in the long-term, especially in eyes with these features.
我们回顾性研究了32只黄斑复位眼术后超过五年的长期视力恢复情况。17只眼（53%）术后5年的最佳矫正视力比术后3个月时的最佳矫正视力提高了2行及以上。对于这17只眼，术后平均视力持续改善长达10年。另外15只眼的视力变化在1行以内。结果发现，术后长期视力改善与年龄较轻、无近视或轻度近视（<-5D）以及黄斑脱离时间较短（≤30天）具有统计学相关性。外科医生应意识到，复位视网膜的视觉功能可能会长期恢复，尤其是具有这些特征的眼睛。
