格子样变性患者发生视网膜脱离的风险。
Risk of retinal detachment in patients with lattice degeneration.
作者信息
Sasaki K, Ideta H, Yonemoto J, Tanaka S, Hirose A, Oka C
机构信息
Department of Ophthalmology, Faculty of Medicine, Kyushu University, Fukuoka, Japan.
出版信息
Jpn J Ophthalmol. 1998 Jul-Aug;42(4):308-13. doi: 10.1016/s0021-5155(98)00012-4.
To determine the risk of retinal detachment in patients with lattice degeneration of the retina, we statistically analyzed the incidence of retinal detachment in these patients. The data of hospital patients with retinal detachment associated with lattice degeneration in Kumamoto Prefecture, Japan, in 1990 were collected. The prevalence of lattice degeneration in Kumamoto was reported to be 9.5% in 1980. Based on population data from the 1990 census, the cumulative incidence of retinal detachment associated with lattice degeneration was calculated in this study. Among 1,840,000 residents in Kumamoto, there were 110 patients with retinal detachment associated with lattice degeneration; 72 with detachment resulting from tractional tears (tears), and 38 with detachment from atrophic holes. The cumulative incidence of retinal detachment from atrophic holes was 1.5% at the age of 40 years; from tears it was 3.6% at the age of 80 years. The cumulative incidence of detachment from both atrophic holes and tears was 5.3% at the age of 80 years. The results of this study are useful for clarifying the natural course of lattice degeneration.
为了确定视网膜格子样变性患者发生视网膜脱离的风险，我们对这些患者视网膜脱离的发生率进行了统计学分析。收集了1990年日本熊本县医院中与格子样变性相关的视网膜脱离患者的数据。据报道，1980年熊本县格子样变性的患病率为9.5%。基于1990年人口普查的人口数据，本研究计算了与格子样变性相关的视网膜脱离的累积发病率。在熊本县的184万居民中，有110例与格子样变性相关的视网膜脱离患者；72例因牵拉性裂孔（撕裂）导致脱离，38例因萎缩性孔导致脱离。萎缩性孔导致的视网膜脱离在40岁时的累积发病率为1.5%；牵拉性裂孔导致的视网膜脱离在80岁时的累积发病率为3.6%。萎缩性孔和牵拉性裂孔导致的视网膜脱离在80岁时的累积发病率为5.3%。本研究结果有助于阐明格子样变性的自然病程。
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