Kusaka S, Toshino A, Ohashi Y, Sakaue E
Department of Ophthalmology, Ehime University School of Medicine, Japan.
Jpn J Ophthalmol. 1998 May-Jun;42(3):218-22. doi: 10.1016/s0021-5155(97)00136-6.
The authors retrospectively investigated the long-term visual recovery in 32 macular reattached eyes that had been monitored for more than 5 years after surgery. The best corrected visual acuities were better at 5 years postoperatively than at 3 months by two lines or more in 17 eyes (53%). In these 17 eyes, visual acuities continued to improve for up to 10 years after surgery. In the other 15 eyes, the visual acuities remained within one line of the 3-month values. Improvement of the long-term postoperative visual acuity was found to be statistically correlated with younger age, no or mild myopia (>-5 diopters), and shorter duration of macular detachment (< or =30 days). Surgeons should be aware that the visual function of reattached retinas may continue to improve over the long term, especially when these beneficial factors are present.
作者回顾性研究了32只黄斑复位眼术后5年以上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个月时提高了两行或更多。在这17只眼中，术后视力持续改善长达10年。在另外15只眼中，视力保持在术后3个月时的一行范围内。发现术后长期视力的改善与年龄较轻、无近视或轻度近视（>-5屈光度）以及黄斑脱离持续时间较短（<或=30天）在统计学上相关。外科医生应意识到，复位视网膜的视觉功能可能会长期持续改善，尤其是当存在这些有利因素时。
