近视对不同类型视网膜脱离的发生与治疗的影响  

The effect of myopia on the incidence and treatment of retinal detachment

作　　者：张晓敏[1] 黎晓新[1] 

机构地区：[1]北京医科大学人民医院眼科,100044

出　　处：《眼科》1994年第4期204-206,共3页Ophthalmology in China

摘　　要：本文对290例(322只眼)视网膜脱离患者及28例(31只眼)进行激光治疗的视网膜裂孔患者的近视屈光状态与视网膜脱离的发生及其治疗的影响进行了分析。200只非外伤孔源性视网膜脱离眼中近视眼154只(77.0%)。在这154只眼中,高度近视109只限(70.8%)。所占比例明显高于轻、中度近视。77只外伤孔源性视网膜脱离眼中近视眼为32只(41.6%)。32例双眼视网膜脱离患者中28例为近视(87.5%)。近视视网膜脱离与年龄无明显关系。非外伤孔源性视网膜脱离手术中,非近视眼的一次手术成功率为78.3%,明显高于近视眼组的一次手术成功率(61.0%,P<0.05)。除挫伤性视网膜脱离 PVR D_1～D_3组以外,近视眼 PVR 程度均明显严重于非近视眼。322 eyes(290 cases)of retinal detachment(RD) and 31 eyes(28 cases)of retinal rhegma treated with laser were analyzed to study the effect of myopia on the incidence and therapeutic prognosis of RD.Among 200 eyes of nontraumatic rhegmatogenic RD,154 eyes(77.0%)were myopic,the majority of which,109 eyes(70.8%),were highly myopic. Among 77 eyes of traumatic rhegmatogenic RD, myopia accounted for 32 eyes(41.6%).Among 32 cases of bilateral RD,28 cases(87.5%)were myo- pes.The onset of RD in myopic eyes was not corre- lated with age.In operations of nontraumatic rhegma- togenic RD,the rate of surgical success on the first attempt was 78.3% for the nonmyopes,significantly higher than that(61.0%)for the myopes.The complication of proliferative vitreoretinopathy(PVR) was also much more severe in the myopic eyes than in the nonmyopic eyes,except in the group of contusive RD with PVR D_1-D_3.

关 键 词：近视 视网膜脱离 

分 类 号：R774.13[医药卫生—眼科]