老年人孔源性视网膜脱离手术临床分析  

Clinical analysis of senile rhegmatogenous retinal detachment operation.

作　　者：张炜[1] 李贺敏[1] 魏青[1] 吴丽娅[1] 李志强[1] 

机构地区：[1]洛阳医学高等专科学校附属医院眼科,471003

出　　处：《眼外伤职业眼病杂志》2002年第4期422-423,共2页Journal of Injuries and Occupational Diseases of the Eye with Ophthalmic Surgeries

摘　　要：目的　探讨老年孔源性视网膜脱离的临床特点。方法　对62例 (62眼 ) 60岁以上老年人孔源性视网膜脱离手术临床资料进行了回顾性分析。结果　近视占 72 58% ,其中高度近视 54 84% ,裂孔形态以马蹄形居多 ,占 60 2 2 % ,玻璃体后脱离占 70 96 % ,51例 1次手术成功占82 2 6 % ,7例 2次手术成功占 1 1 2 9%。结论　老年视网膜脱离的裂孔以马蹄形居多 ,高度近视及玻璃体后脱离与老年孔源性视网膜脱离关系密切 ,手术成功率与患者年龄、全身情况关系不大 。Objective To investigate the clinical character of senile rhegmatogenous retinal detachment.Methods Sixty two patients with rhegmatagenous retinal detachment aged over 60 years were reviewed.Results 72 58% cases were myopia and 54 8% were high myopia.Posterior vitreous detachment was found in 70 96% cases.Horse shoeshaped tears took up 60 22% retinal holes.Fifty one cases attained successful operations for the first time(82 26%) and seven cases did for the second time (11 29%).Conclusion The most common tears were horse shoe shaped tears.High myopia and posterior vitreous detachment were closely related to the incidence of senile rhegmatogenous retinal detachment.The successful rate of operations had nothing to do with their age and general physical conditions.Severe proliferative vitreoretinopathy was the main cause of failure.

关 键 词：老年人 孔源性视网膜脱离 临床分析 马蹄形裂孔 玻璃体后脱离 

分 类 号：R779.6[医药卫生—眼科]