孔源性视网膜脱离42例临床分析

CLINICAL ANALYSIS OF 42 CASES OF RHEGMATOGENOUS RETINAL DETACHMENT

作者采用冷凝、巩膜扣带和环扎术为基本术式，治疗孔源性视网膜脱离42例（42眼），术后随访6～24月，结果机网膜复位37眼，失败5眼。失败的主要原因是未封闭全部裂孔及严重增殖性玻璃体视网膜病变的形成。本文对不同手术方法和技术要点进行了讨论。

The surgical results of 42 cases(42 eyes) of retinal detachment were analyzed. The basic operation were clod -coagulation, scleral buckling and sclera-circular compression. The patients were fol lowed up for 6-24 months after operation The results showed that the surgical repair got success in 37 eyes and failure in 5 eyes. The common causes for the failure were incompact sealing of retinal tears and forming of severe prolifenative vitreoretinopathy. The different operative methods and technical key points were also discussed.