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迄今,对于黄斑裂孔性视网膜脱离的手术治疗,原则上是作黄斑区的压陷术,使之产生脉络膜视网膜疤痕。作者推荐彻底的玻璃体切割术后,用硅油作眼内充填来治疗黄斑裂孔性视网膜脱离。作者治疗黄斑裂孔性视网膜脱离18例,11例为高度近视其中5例是单眼。手术包括彻底的玻璃体切割,继之作玻璃体内的硅油注射。注入的硅油便形成一个表面张力很大的球形硅油球推压视网膜;阻止视网膜下液体通过,因此而封闭了破口。这样无需在裂洞的周围产生组织学上的脉络膜视网膜疤痕,也不损伤黄斑裂孔周围的视网膜。经睫状体平部行玻璃体切割术,病人多系高度近视和上了年纪者,玻璃体多有液化,手术并
Hitherto, the surgical treatment of macular hole retinal detachment has, in principle, been used as a crush of the macula to produce a chorioretinal scar. The authors recommend a complete vitrectomy with silicone oil for intraocular filling to treat macular hole retinal detachment. The authors treated macular hole retinal detachment in 18 cases, 11 cases of high myopia in which 5 cases were monocular. Surgery includes a complete vitrectomy followed by intravitreal silicone oil injections. Injection of silicone oil will form a large surface tension spherical silicone oil ball to push the retina; to prevent subretinal fluid through, thus closing the breach. This eliminates the need for histological choroidal retinal scarring around the fissure and does not damage the retina around the macular hole. Posterior ciliary body placenta vitrectomy, patients with multiple lines of high myopia and the elderly, the more vitreous liquefaction, surgery and