A predictive model for visual recovery following retinal detachment surgery.
A predictive model for visual recovery following retinal detachment surgery.
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DOI：
10.1016/s0161-6420(78)35636-0
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发表时间：
1978-06
期刊：
影响因子：
13.7
通讯作者：
T. Burton;Ross W. Lambert
中科院分区：
文献类型：
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作者：
T. Burton;Ross W. Lambert
通过多元回归分析，我们从200个观察结果中确定了26个显著影响视网膜脱离手术后视力的观察结果。此外，我们还开发了一个非常重要的数学模型，它能够在相当宽的范围内预测视力，准确率约为67%。仍然有很大比例的患者我们不能解释最终视力的变化，这是一个需要进一步研究的问题。本研究中没有分析的潜在重要因素包括黄斑脱离的持续时间，传入瞳孔缺陷，视网膜下液的引流，巩膜扣带手术的程度，术后随访6个月以上，年龄、老年性白内障、屈光不正等因素是固定的，不能改变，提高对影响因素的认识可以使我们能够操纵其中的一些因素，并提供改善视网膜脱离手术后黄斑功能恢复或维持结果的机制。
By multiple regression analysis we have identified 26 out of 200 observations which significantly affect the visual acuity following retinal detachment surgery. In addition, we have developed a highly significant mathematical model, which is able to predict in rather broad ranges of visual acuity to approximately 67% accuracy. There is still a large percentage of patients for whom we cannot account for the variability in final vision, a problem requiring future investigation.Potentially important factors which were not analyzed in this study include duration of macular detachment, afferent pupil defect, drainage of subretinal fluid, extent of the scleral-buckling procedure, and postoperative follow-up longer than six months.While most of the variables are fixed and cannot be altered, such as age, senile cataract, and refractive error, improved knowledge of influential factors may allow us to manipulate some of them and provide mechanisms for improving results in recovery or maintenance of macular function after retinal detachment surgery.