Follow-up study of detachment of the retinal pigment epithelium
| Autor: | Arnall Patz, Mohandas Kini, Hanna Obertynski, Michael L. Klein, Stuart L. Fine |
|---|---|
| Rok vydání: | 1980 |
| Předmět: |
Adult
Male medicine.medical_specialty Visual acuity genetic structures Remission Spontaneous Visual Acuity Hemorrhage Spontaneous remission Cellular and Molecular Neuroscience Ophthalmology Humans Medicine In patient Pigment Epithelium of Eye Aged Retinal pigment epithelium Neovascularization Pathologic business.industry Age Factors Retinal Detachment Follow up studies Clinical course Retinal Vessels Retinal detachment Anatomy Middle Aged Prognosis medicine.disease eye diseases Sensory Systems medicine.anatomical_structure Female Retinal pigment epithelial detachment sense organs medicine.symptom business Follow-Up Studies Research Article |
| Zdroj: | British Journal of Ophthalmology. 64:412-416 |
| ISSN: | 0007-1161 |
| DOI: | 10.1136/bjo.64.6.412 |
| Popis: | To determine the clinical course of untreated retinal pigment epithelial detachment we reviewed data from 50 eyes of 42 patients followed up for an average of 29 months without photocoagulation. In 14 eyes with avascular lesions, in patients under 50 years of age, all had a final vision of 20/30 or better. None developed neovascularisation or haemorrhage. In 17 eyes with avascular lesions in patients aged over 50, 8 (47%) flattened spontaneously. Five (24%) developed neovascularisation, 2 of which became haemorrhagic, with vision of less than 20/200. In 19 senile eyes with vascular lesions 14 (74%) had a final vision of 20/200 or less. The prognosis in eyes with pigment epithelial detachments is related to the age of the patient and the presence of choroidal neovascularisation. Photocoagulation is seldom needed for pigment epithelial detachments in young patients. Its value in senile eyes is unproved. |
| Databáze: | OpenAIRE |
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