目的 探讨孔源性视网膜脱离自动复位的机理和长期疗效。方法 对孔源性视网膜脱离患者双眼包扎卧床休息,促使视网膜下液吸收。对12例视网膜自动复位者,行激光光凝封闭视网膜裂孔。结果 12例孔源性视网膜脱离患者视网膜完全复位,光凝裂孔封闭良好,无并发症发生。结论 双眼包扎卧床休息可以减轻玻璃体对视网膜的牵拉,促使视网膜下液吸收,可能使部分患者视网膜自动复位,并通过激光光凝治愈。 Objective To investigate the mechanism and long-term efficacy of auto-reduction of rhegmatogenous retinal detachment. Methods eyes of patients with rhegmatogenous retinal detachment in the eyes wrapped in bed rest, to promote subretinal fluid absorption. Retinal reattachment was performed on 12 cases of retina with laser photocoagulation. Results In the 12 patients with rhegmatogenous retinal detachment, the retina was completely reset and the photocoagulation fracture was well closed with no complications. Conclusions Binocular bed rest in bed can reduce the vitreous traction on the retina, prompting the absorption of subretinal fluid, retinal detachment may be some patients automatically reset and cured by laser photocoagulation.