高齢者網膜剥離の特徴（3）

Retinal detachment in advanced age. Report 3. Surgical results and complications

　65歳以上の高齢者の裂孔原性網膜剥離273眼における手術成績と併発症について報告した．経過観察は最低6カ月で手術回数は総計330回であった．術前併発症は脈絡膜剥離，角膜混濁などがめだった．術式はジアテルミー凝固術にバックリング法を併用した方法が多かった．また初回手術で，輪状締結術が108眼に施行された．初回手術で273眼中258眼が復位したが，術後平均5.3カ月で33眼が再剥離した．術後視力は術前と比較して改善110眼，不変123眼，悪化40眼であった．

We reviewed a consecutive series of 273 eyes which underwent surgery for retinal detachment during the 10-year period through 1986. This study included only the patients aged 65 years or more and only those who could be followed up at least 6 months after surgery. The present series was char-acterized by a relatively high incidence of choroidal detachment and corneal opacity prior to surgery.

We mainly employed conventional surgical approaches, including scleral encircling 108 eyes, segmental scleral buckling 131 eyes and vitreous surgery 40 eyes.

The retina could be attached in 258 eyes (94.5 %), of which retinal detachment recurred in 33 eyes. As an overall evaluation, the visual acuity improved in 110 eyes, remained unchanged in 123 eyes, and deteriorated in 40 eyes.

Rinsho Ganka (Jpn J Clin Ophthalmol) 42(9) : 1071-1074, 1988