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黄斑裂孔性视网膜脱离,在封孔过程中手术困难较大。作者通过临床实践,摸索出了一种简单易行、不用特殊器械的颞侧巩膜缩短电凝法,近两年来共做手术20例,取得了满意的效果,现介绍如下。手术方法切开外眦,一般只断外直肌,然后做周边裂孔定位。用术前直接检眼镜的估计法,在巩膜表面缝线,用弯镊子夹缝线后顶压观察。找准周边裂孔后,做相应的巩膜条代,电凝后作褥式缝线,但不放水结札,只利用缝线牵引反转眼球。然后找出下斜肌止点在此斜肌的后止端附近的巩膜上,作一较有力的牵引缝线,并将此牵引缝线八字分开牵引,则自然形成一压迫平面,
Macular hole retinal detachment, surgery in the sealing process more difficult. Through clinical practice, the author explored a simple and easy, without special equipment, temporal scleral shortening coagulation method, the last two years a total of 20 cases of surgery, and achieved satisfactory results, are presented below. Surgery incision nephew, the general only off the rectus abdominis, and then do the positioning around the hole. With direct preoperative ophthalmoscope estimation method, the surface of the scleral suture, curved suture with a forceps folder after the top pressure observation. Finding the perimeter after the hole, the scleral stripe on behalf of the generation, electrocoagulation after the mattress suture, but not water Jiezha, only the use of suture traction reversal of the eye. And then find the point of inferior oblique oblique point in this oblique muscle near the end of the sclera, make a more powerful traction suture, and the traction suture separate traction, then the natural formation of an oppressive plane,