SECONDARY CAUSES OF PREMACULAR FIBROSIS
SECONDARY CAUSES OF PREMACULAR FIBROSIS
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DOI：
10.1016/s0161-6420(89)32881-8
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发表时间：
1989-03-01
期刊：
影响因子：
13.7
通讯作者：
HIROSE, T
中科院分区：
文献类型：
--
作者：
APPIAH, AP;HIROSE, T
对 187 名连续诊断为继发性黄斑前纤维化的患者（206 只眼睛）的记录进行了审查。患者平均年龄为 63.2 岁； 96 名（51.3%）患者为男性。 175 只眼睛中最常见的手术原因是白内障摘除术（带或不带植入物），73 只（41.7%）；巩膜扣，33（18.9%）；均采用植入物和巩膜带扣进行白内障摘除术（在单独的手术中），20 例（11.4%）；氩激光手术，17 例（9.7%）；和视网膜冷冻固定术，14 (8.0%)。 31 只眼睛中最常见的非手术原因是钝性眼外伤，12 只（38.7%）；葡萄膜炎，9（29.0%）；和视网膜静脉阻塞，5（16.1%）。 206 只眼睛中有 120 只 (58.3%) 的初始视力为 20/100 或更好。经过最短 6 个月（平均 44.2 个月）的随访后，101 只眼睛中有 72 只（71.3%）的视力稳定或提高，无需手术干预。在 32 只眼睛接受玻璃体切除术并剥离膜后，平均随访 24 个月（最短 6 个月）的 26 只眼睛中，有 25 只 (96.2%) 的视力稳定或有所改善。在 157 只未接受玻璃体切除术的眼睛中，143 只 (91.1%) 出现部分或完全后脱离。 148只眼中有58只眼（39.2%）有血管造影黄斑囊样水肿；然而，黄斑处的玻璃体牵引并不是这些眼睛黄斑囊样水肿（CIVIE）的重要原因。与特发性黄斑前纤维化的报道相比，更多继发性黄斑前纤维化患者的初始视力低于 20/100（42% vs 7-12%），但两组的长期视力稳定性似乎相似（71.3% vs 60-83%）。
The records of 187 consecutive patients (206 eyes) with a diagnosis of secondary premacular fibrosis were reviewed. The mean patient age was 63.2 years; 96 (51.3%) patients were men. The most common surgical causes in 175 eyes were cataract extraction with or without implant, 73 (41.7%); scleral buckle, 33 (18.9%); both cataract extraction with implant and scleral buckle (in separate surgical sessions), 20 (11.4%); argon laser procedures, 17 (9.7%); and retinal cryopexy, 14 (8.0%). The most common nonsurgical causes in 31 eyes were blunt ocular trauma, 12 (38.7%); uveitis, 9 (29.0%); and retinal vein occlusion, 5 (16.1 %). Initial visual acuity was 20/100 or better in 120 of the 206 eyes (58.3%). After a minimum follow-up period of 6 months (mean, 44.2 months), 72 of 101 eyes (71.3%) had stable or improved visual acuity without surgical intervention. Of 32 eyes that underwent vitrectomy with membrane stripping, 25 of 26 eyes (96.2%) followed for a mean period of 24 months (minimum, 6 months) had stable or improved visual acuity. Of 157 eyes that did not undergo vitrectomy, 143 (91.1 %) had partial or complete posterior detachment. Fifty-eight of 148 eyes (39.2%) had angiographic cystoid macular edema; however, vitreous traction at the macula was not a significant cause of cystoid macular edema (CIVIE) in these eyes. Compared with reports of idiopathic premacular fibrosis, more patients with secondary premacular fibrosis have initial vision worse than 20/100 (42 versus 7–12%), but long-term visual stability appears to be similar in both groups (71.3 versus 60–83%).