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目的：为分析黄斑孔合并周边裂孔视网膜脱离病例病情特点、治疗方法及预后的影响因素。方法：对５７只眼选用单纯气液交换，环扎加压，或玻璃体切割联合眼内注气手术方法，部分病例予以激光辅助治疗。结果：患眼视网膜总复位率达８６％（４９／５７），一次手术复位３８只眼（占６７％）。视力提高３６只眼（占６３％），未变１０只眼，下降３只眼，激光治疗眼视力恢复无影响。结论：严重ＰＶＲ、术前病程长、高度近视、后极部裂孔、并发脉络膜脱离是影响手术成功的重要因素。术前检查不遗漏裂孔，选择合适的手术方式，及时封闭裂孔，预防膜增殖是成功的关键。
Objective: To analyze the characteristics of disease, treatment and prognostic factors of macular hole and retinal detachment with periocular hiatus. Methods: A total of 57 eyes were treated with simple gas-liquid exchange, cerclage and vitrectomy combined with intraocular gas injection. In some cases, laser assisted therapy was used. Results: The total retinal retation rate was 86% (49/57), 38 eyes (67%) underwent surgery. Visual acuity increased 36 eyes (63%), unchanged 10 eyes, decreased 3 eyes, no effect of laser treatment of visual acuity recovery. Conclusion: Severe PVR, preoperative long course, high myopia, posterior pole hiatus, complicated with choroidal detachment are the important factors affecting the success of surgery. Preoperative examination does not miss the hole, select the appropriate surgical methods, timely closure of the hole, the prevention of membrane proliferation is the key to success.