对１９８８年～１９９２年中６０岁以上的１００例（１０４只眼）孔源性视网膜脱离住院老年患者的临床资料进行了分析。老年患者所占比例（１０．７８％，１００／９２７）较过去国内报告者为高，并在本组中有逐年上升的趋势；其黄斑裂孔发生率高，提示老年人黄斑部更易受累。本组老年患者未治愈的原因除了严重的ＰＶＲ及巨大裂孔伴有卷边外，心血管疾病及青光眼也是影响病人预后的重要原因。 The clinical data of 100 patients (104 eyes) with rhegmatogenous retinal detachment in hospitalized elderly patients over the age of 60 from 1988 to 1992 were analyzed. The proportion of elderly patients (10.78%, 100/927) was higher than that of the previous national reports, and there was a trend of increasing year by year in this group. The incidence of macular hole was high, suggesting that macular degeneration in the elderly is more likely to be affected. In addition to the severe cause of PVR and huge hiatus associated with curling, cardiovascular disease and glaucoma are also important reasons that affect the prognosis of patients.