中华眼外伤职业眼病杂志
中華眼外傷職業眼病雜誌
중화안외상직업안병잡지
CHINESE JOURNAL OF OCULAR TRAUMA AND OCCUPATIONAL EYE DISEASE
2013年
6期
420-423
,共4页
视网膜脱离,老年人%发病特征%治疗方法%治疗效果
視網膜脫離,老年人%髮病特徵%治療方法%治療效果
시망막탈리,노년인%발병특정%치료방법%치료효과
Detachment,retinal,senile%Feature,aetiological%Treatment%Efficacy
目的 探讨老年人视网膜脱离(RD)的发病特征、治疗方法及效果.方法 收集185例(187眼)因RD接受手术治疗,年龄大于等于50岁者资料,对其临床特征进行回顾性分析.结果 老年人RD的主要构成比:孔源性RD 140眼(74.9％),牵引性RD 46眼(24.6％)(其中牵引合并孔源性RD 26眼,占总体RD的13.9％),渗出性RD 1眼(0.5％).另老年高度近视RD中黄斑孔性占61.0％.转诊患者中误诊率为11.4％.尽管末次手术视网膜复位率高达95.7％,但术后低视力及盲仍占86.6％.结论 老年人RD主要与玻璃体后脱离的发生有关；老年高度近视RD多数由黄斑孔引起；老年人RD的误诊率较高；治疗遵从一般RD治疗的原则；术后低视力及盲所占比例较大.
目的 探討老年人視網膜脫離(RD)的髮病特徵、治療方法及效果.方法 收集185例(187眼)因RD接受手術治療,年齡大于等于50歲者資料,對其臨床特徵進行迴顧性分析.結果 老年人RD的主要構成比:孔源性RD 140眼(74.9％),牽引性RD 46眼(24.6％)(其中牽引閤併孔源性RD 26眼,佔總體RD的13.9％),滲齣性RD 1眼(0.5％).另老年高度近視RD中黃斑孔性佔61.0％.轉診患者中誤診率為11.4％.儘管末次手術視網膜複位率高達95.7％,但術後低視力及盲仍佔86.6％.結論 老年人RD主要與玻璃體後脫離的髮生有關；老年高度近視RD多數由黃斑孔引起；老年人RD的誤診率較高；治療遵從一般RD治療的原則；術後低視力及盲所佔比例較大.
목적 탐토노년인시망막탈리(RD)적발병특정、치료방법급효과.방법 수집185례(187안)인RD접수수술치료,년령대우등우50세자자료,대기림상특정진행회고성분석.결과 노년인RD적주요구성비:공원성RD 140안(74.9％),견인성RD 46안(24.6％)(기중견인합병공원성RD 26안,점총체RD적13.9％),삼출성RD 1안(0.5％).령노년고도근시RD중황반공성점61.0％.전진환자중오진솔위11.4％.진관말차수술시망막복위솔고체95.7％,단술후저시력급맹잉점86.6％.결론 노년인RD주요여파리체후탈리적발생유관；노년고도근시RD다수유황반공인기；노년인RD적오진솔교고；치료준종일반RD치료적원칙；술후저시력급맹소점비례교대.
Objective To investigate the clinical aetiological feature,treatment and effect of senile retinal detachment(SRD).Methods The clinical data of retinal detachment in 187 eyes of 185 patients,undergone surgical treatment and whose ages were no less than fifty,were retrospectively analyzed.Results SRDs were classified as rhegmatogenous,tractional,exudative SRD.In our cases,those three types occupied 74.9％,24.6％,and 0.5％ respectively and there were 61.0％ senile high myopic retinal detachment eyes resulting from a macular hole.Misdiagnosis rate of referrals was 11.4％.Final retinal reattachment rate reached 95.7％,while postoperative cases with "low vision or blindness" occupied 86.6％.Conclusion The main cause of SRD is posterior vitreous detachment.Senile myopic retinal detachment is intensively related to a macular hole.The rate of misdiagnosis is high.A general therapeutic principle of retinal detachment is suitable for SRD.Lots of "low vision or blindness" patients can be found in the postoperative outcomes of SRD.
