摘要
目的 研究正视眼视网膜脱离（ｒｅｔｉｎａｌ ｄｅｔａｃｈｍｅｎｔ，ＲＤ） 患者的手术预后及其与玻璃体改变的关系。方法 回顾１９９６ 年１ 月至１９９７ 年７ 月在我院行手术治疗的孔源性视网膜脱离患者１ ２６２例（１ ２９４ 只眼），其中近视眼ＲＤ组１ ０３１ 只眼，正视眼ＲＤ组２４３ 只眼，并研究增殖性玻璃体视网膜病变（ｐｒｏｌｉｆｅｒａｔｉｖｅ ｖｉｔｒｅｏｒｅｔｉｎｏｐａｔｈｙ，ＰＶＲ）的分级及玻璃体后脱离（ｐｏｓｔｅｒｉｏｒ ｖｉｔｒｅｏｕｓｄｅｔａｃｈｍｅｎｔ，ＰＶＤ）、液化、浓缩等对手术预后的影响。结果 正视眼ＲＤ 组手术总治愈率为８８－５％ ，１ 次手术治愈率为６５－４％ ；近视眼ＲＤ 组手术总治愈率为９３－８ ％ ，１ 次手术治愈率为７６－４ ％ ；两组相比差异有非常显著性（Ｐ＜０－０１） 。正视眼ＲＤ组ＰＶＤ发生率为３９－６％ ，近视眼ＲＤ 组为５１－７％ ；两组相比差异有非常显著性（Ｐ＜０－０１）。正视眼ＲＤ组玻璃体局部浓缩发生率为５６－８％ ，近视眼ＲＤ组为１９－６％ ；两组相比差异有非常显著性（Ｐ＜０－０１） 。正视眼ＲＤ 组玻璃体液化率为７６－１ ％ ，近视眼ＲＤ组为８１－８％ ；两组相比差异有显著性（Ｐ＜０－０５） ?
Objective To study the relationship between surgical prognosis of retinal detachment (RD) in emmetropic or myopic eyes and vitreous changes Methods Postoperatively, 1 294 eyes of 1 262 patients with rhegmatogenous RD including 243 emmetropic and 1 031 myopic eyes were retrospectively studied The affects of proliferative vitreoretinopathy (PVR), posterior vitreous detachment (PVD), vitreous liquefaction and concentration on the surgical prognosis were evaluated Results The cure rate in emmetropic group (88 5%) was lower than that in myopic group (93 8%, P <0 01) Also, the cure rate by initial surgery in emmetropic group (65 4%) was lower than that in myopic group (76 4%, P <0 01) In addition, the occurrences of PVD (39 6%) and liquefaction (76 1%) in emmetropic group were lower than that in myopic group (51 7%, and 81 8% respectively, P <0 05) However, focal vitreous concentration in emmetropic group (56 8%) was much higher than that in myopic group (19 6%, P <0 01) Conclusions The surgical prognosis of RD especially by initial operation is worse in emmetropic group than that in myopic group The lower occurrences of PVD and liquefaction but higher occurrence of focal vitreous concentration in emmetropic eyes may have impact on the prognosis It is possible that the vitreous characteristics in emmetropic eyes with RD have relationship to the occurrence and development of PVR that has the influence on the prognosis to some extent
出处
《中华眼科杂志》
CAS
CSCD
北大核心
1999年第6期409-412,共4页
Chinese Journal of Ophthalmology
关键词
视网膜脱离
正视眼
外科手术
预防
预后
Retinal detachment Emmetropia Vitreoretinopathy, proliferative
