原發性視網膜剝離手術後之視力恢復－五年追踪期之研究

Visual Recovery after Retinal Detachment Surgery-A Study of 5-Year Fowllow-Up

盧天祥(T. S. Lu) ； 鍾欽彬(C. B. Chung) ； 王惠珠(H. Z. Wang) ； 陳振武(C. W. Chen)

《中華民國眼科醫學會會刊》 28卷2期 (1989/05) Pp. 649-654

https://doi.org/10.30048/ACTASOS.198905.0119

摘要

本篇報告76例原發性視網膜剝離，經一次手術即復位達6個月以上，觀察其術後視力恢復情形。發現75%的病例，術後視力有明顯地進步，一般在手術後6個月內，進步較為明顯，而6個月以後到5年之間，則沒有顯著地變化。本文並分析黃斑部剝離與否、時間之長短以及其他可能因素對視力恢復之影響。

並列摘要

76 phakic eyes of primary rhegmatogenous retinal detachment were treated surgically in the ophthalmic department of Kaohsiung Medical College from 1980 to 1983. The study of visual recovery after retinal detachment surgery in a period of 5-year was presented.
After the successful operations, visual acuity was found to improve in 75% of 76 eyes. We noted better post-operative visual acuity was found in those macula spared than macula detached. Visual prognoss was related to the duration of the detachment before surgery. However, the longer the retina had been detached, the worse were the visual outcome.
It was also found that there were no significant differences in visual improvement between different age, type of tears and operative procedures.
Chronological study of visual recovery in a follow-up period of 5 years showed gradual recovery in 6 months of post-operation and no significant changes of visual acuity afterwards.
The statistical results of other authors had been compared and the factors influencing the visual outcome and visual results had been discussed.

並列關鍵字

retinal detachment ； visual acuity ； scleral buckling