原发性视网膜脱离对侧眼的观察  

The observation of the fellow eye in patients with primary detachment of retina.

作　　者：曾爱萍[1] 曾水清[1] 程扬[1] 李晓青[1] 

机构地区：[1]华中科技大学同济医学院附属协和医院眼科,湖北武汉430022

出　　处：《眼外伤职业眼病杂志》2005年第8期580-582,共3页Journal of Injuries and Occupational Diseases of the Eye with Ophthalmic Surgeries

摘　　要：目的探讨增生性玻璃体视网膜病变(PVR)C-2级及以下的原发性(孔源性)视网膜脱离对侧眼是否存在相同疾病的危险性,威胁其视力的病理学改变,及预防性治疗的意义。方法对236例(236眼)原发性视网膜脱离进行了回顾性分析,记录年龄、性别、视力、对侧眼威胁视力的病理学改变、预防性治疗效果及随访时间。结果236例平均观察6.6年,其中121例(51.27%)对侧眼存在威胁视力的病理学改变,包括81例(66.94%)有视网膜裂孔,39例(16.53%)发生了视网膜脱离。71例预防性治疗的对侧眼中67例(94.37%)未发生视网膜脱离。结论原发性视网膜脱离的对侧眼发生威胁视力的病理学改变,特别是发生视网膜裂孔的危险性增加,对对侧眼进行预防性治疗是一种有效的方法。Objective To determine whether patients with primary（rhegmatogenous） detachment of retina （RD） with less than grade C-3 proliferative vitreoretinopathy （PVR） are at risk to acquire the same diseases or other vision-threatening retinal pathology in the fellow eye, and to assess the significance of prophylactic treatment for the fellow eye.Methods 236 eonseutive RD-patients were studied retrospectively. Age, gender, best-corrected visual acuity, vision-threatening pathology in the fellow eye, prophylactic treatment results, and observation time were recorded. Results After a mean follow-up of 6.6 years, 121 of RD patients showed vision-threatening pathology in the fellow eyes： among them, 81 patients （66.94%） were rhegmatogenous in nature. 39 of 236 （16.53%） had retinal detachments in the fellow eye. 67 of 71 treated fellow eyes （94.36%） had been remained stable without detachment. Conclusion Patients who develop RD in one eye are at considerable risk for developing vision-threatening pathology in the fellow eye, particularly rhegmatogenous events. Prophylactic treatment for the fellow eye of RD patients may be an effettive means.

关 键 词：原发性(孔源性)视网膜脱离 对侧眼 视网膜裂孔 预防性治疗 

分 类 号：R774.12[医药卫生—眼科]