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周边部视网膜脱离常扩大致黄斑脱离,或低眼压。为此设计了视网膜切开松弛术,以期达到视网膜长期复位。目前对该手术的确切适应证、方法及远期并发症尚知之甚少。作者报道1986年～1989年间所作40例本手术的效果。选例和方法:作者回顾了作视网膜切开松弛术,以便达到视网膜复位的39例40只眼。此手术的适应证是:(1)虽最大限度地切除增殖性或皱缩性周边视网膜组织,并给予充气或充液仍不能平复的视网膜;(2)先前玻璃体切割术和充填失败;(3)临床检查偶见有明显残留的或再发的视网膜牵引。记录术前和术
Peripheral retinal detachment often enlargement caused by macular detachment, or low intraocular pressure. Retinal incision and relaxation was designed for this purpose, in order to achieve long-term retinal reset. The current exact indication of the surgery, methods and long-term complications are still poorly understood. The authors report the results of 40 surgeries performed between 1986 and 1989. SELECTIONS AND METHODS: The authors reviewed 39 patients (40 eyes) who underwent retinotomy and relaxation for retinal reattachment. Indications for this procedure are: (1) maximal removal of proliferative or collapsed peripheral retinal tissue, with inflamed or fluid-filled retina; (2) failure of previous vitrectomy and filling; (3) Occasional clinical examination, there are obvious residual or recurrence of retinal traction. Record preoperative and surgical