[Multifocal vitelliform degeneration. Clinical and etiopathogenetic considerations].
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Biomedical subjects
Publications and source records attributed to G Estachy.
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The peripheral retina of 150 aphakic eyes with uncomplicated extraction was studied with the Goldmann three-mirror contact lens. The patients were examined 1 month to more than 2 years after cataract extraction. In addition to degenerations which are descirbed everywhere and are seen both in phakic and aphakic eyes, the authoris have emphasized lesions which they consider to be specific of aphakia. These lesions are retinal haemorrhages of wich four types are described; pigmentary anomalies and retinal tears and holes. Taking into consideration the great frequency of aphakic retinal detachment in comparison with phakic detachment, it is evident that such lesions must be held liable in aphakic retinal detachment.
The authors have studied the vitreous in 150 aphakic eyes after uneventful operations. They were examined by the slit-lamp and the Goldmann three-mirror glass. Two types of lesions were revealed: (1) 42% showed rupture of the anterior hyaloid membrane; this is not considered dangerous. (2) 69.3% showed posterior detachment of the vitreous, a more serious lesion. It is often associated with retinal lesions such as haemorrhage, pigmentary anomalies, and retinal tears. In view of such lesions, one cannot consider the aphakic patient as a normal subject and aphakia as a physiological condition. The frequency of retinal detachment in the aphakic bears witness to it.
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