最近6年間の網膜剥離自験手術236眼の検討—I．手術成績

A 6-year survey of retinal detachment surgery through conventional approach:I. Rate of success

　1976年から1981年の6年間に，著者自身が手がけた京大病院におけるconven—tionalな網膜剥離手術症例222例，236眼のうち，病歴簿より調査可能であった209例（調査率94.1％），223眼（同94.5％）につき，手術成績を検討した。通年の平均復位率は91.5％で，前，中，後期で変らなかった。扱った症例は黄斑円孔16.6％，無水晶体眼13.0％，巨大裂孔2.4％などからなっていた。裂孔不明例が通年平均で13.9％もあり，その復位率は悪かった。症例平均手術回数は1.29回であった。

A consecutive series of 236 eyes (222 cases) with retinal detachment were operated through the con-ventional surgical approach during the 6-year period ending 1981. Surgery was performed by a single surgeon (Y.H.). Detailed data were obtained in 223 eyes (209 cases).

Reattachment of the retina was obtained with a single operation in 174 of the 223 eyes (78.0%). A final success rate of 91.5% was obtained by two ormore surgical attempts. There was no difference in the rate of surgical success among the three periods 1976/77, 1978/79 and 1980/81.