【摘要】目的：探讨孔源性视网膜脱离患者对侧眼底检查的临床意义。
方法：采用前瞻性设计的新发患者登记方法收集病例资料，对131例原发性的孔源性视网膜脱离患者的对侧眼在充分散瞳下进行详细的眼底检查并绘制眼底模式图。
结果：131例中有54 例（41.2%）检出与视网膜脱离相关的眼底病理性改变，其中以周边部视网膜格子样变性最为多见，占32.8%，视网膜干性裂孔的发生率为9.9%，双眼视网膜脱离的发生率为8.4%。
结论：RRD患者对侧眼的详细检查是预防和减少双眼视网膜脱离发生、进展的有效方法。
【关键词】 孔源性视网膜脱离 对侧眼 眼底检查 预防
Observation of the fellow eye of rhegmatogenous retinal detachment patients
XueMei Feng, ShaoYang Shi, TingTing Jia, XiaoLong Chen
Department of Ophthalmology, the Second Hospital of China Medical University, Shenyang 110004, Liaoning Province, China
Abstract
AIM: To investigate the clinical significances of the examination of the fellow eye for rhegmatogenous retinal detachment (RRD) patients.
METHODS: The fellow eyes of 131 cases with RRD were examined with full mydriasis and the mode chart of fundus was drawn.
RESULTS: Fiftyfour case (41.2%) presented pathological changes on fundus that was related with retinal detachment, of which, retinal lattice degeneration was most common (32.8%), retinal hole was found on 13 cases (9.9%) and the incidence of RRD in the fellow eye was 8.4%.
CONCLUSION: It is of great importance to examine the fellow eye of the RRD patients.
KEYWORDS: RRD; fellow eye; examination; prevention
0引言
孔源性视网膜脱离（rhegmatogenous retinal detachment, RRD）是视网膜神经上皮和色素上皮之间的分离，是常见的致盲性眼病，且有双眼发病趋势。虽然手术的解剖复位率较高但视功能的恢复多不理想，同时RRD的复位手术还可发生各种并发症，因此对RRD对侧眼的临床观察，早期预防，早期治疗尤为重要。本文观察并总结分析了131 例RRD患者对侧眼的临床资料，现报道如下。
1对象和方法
1.1对象 200310/200610在我院初诊收治的RRD患者（包括门诊和住院患者），除外眼球穿通伤、球内异物引起的视网膜脱离、眼底病引起的混合性视网膜脱离、非高度近视引起的特发性黄斑孔视网膜脱离，共131例,男66例，女65例，年龄6～75(平均42)岁。
1.2方法 对侧眼排除青光眼后予以充分散瞳，应用直接、间接检眼镜，90.00D 间接镜，三面镜，必要时应用巩膜压迫器仔细检查眼底，并绘制眼底模式图，包括眼底病变的类型，范围，大小，方位等。对侧眼屈光间质混浊、瞳孔不能散大者采用B超检查。
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