Tillery W V, Lucier A C
Trans Sect Ophthalmol Am Acad Ophthalmol Otolaryngol. 1976 May-Jun;81(3 Pt 1):509-18.
Round atrophic holes in lattice degeneration are an important cause of phakic retinal detachment. Detachments due solely to round holes in lattice accounted for almost 2.8% of all retinal detachments treated at Wills Eye Hospital from January 1970 to August 1973. These detachments had the following important characteristics: 1. One of the patients were under the age of 30 years. 2. Over 75% of the patients had refractive errors more myopic than -3 D spherical equivalent. 3. Inferior detachments were slightly more common than superior detachments. When located inferiorly, there was a tendency for slow progression as indicated by the frequent presence of pigmented demarcation lines. 4. Surgical repair with standard scleral buckling techniques was successful in 98% of these detachments. Young, moderate to highly myopic patients with round holes in areas of lattice degeneration seem to have a greater risk of developing this type of detachment. Patients with the triad of youth, myopia, and round holes in lattice degeneration deserve close observation.
格子样变性中的圆形萎缩孔是有晶状体眼视网膜脱离的一个重要原因。1970年1月至1973年8月在威尔斯眼科医院接受治疗的所有视网膜脱离中，仅由格子样变性中的圆形孔导致的脱离占近2.8%。这些脱离具有以下重要特征：1. 其中一名患者年龄在30岁以下。2. 超过75%的患者屈光不正度数比等效球镜度数-3D更近视。3. 下方脱离比上方脱离略常见。当位于下方时，如经常出现色素分界线所示，有缓慢进展的趋势。4. 采用标准巩膜扣带技术进行手术修复，在98%的此类脱离中取得成功。年轻、中度至高度近视且格子样变性区域有圆形孔的患者似乎发生这种类型脱离的风险更大。患有年轻、近视和格子样变性中的圆形孔三联征的患者值得密切观察。
