由于检查和治疗技术的不断改善,视网膜脱离的手术治愈率大为提高,文献报导已达89%左右。但超过90°以上之巨大裂孔性视网膜脱离,基本上是束手无策,效果极不满意。对于此等病例,我们设计用纯针刺入球内吸住玻璃体并将其嵌于巩膜切口,阔筋膜增强后巩膜,冷凝,球内充气等措施治愈一例180°巨大裂孔性视网膜脱离。国内未见此术式报告,故介绍之: 手术方法术前充分散瞳,详查眼底,充分了解玻璃体、视网膜及裂孔情况。由大腿外侧割取阔筋膜,长6厘米,宽4—6毫米。取妥后将其放于0.5%庆大溶液中备用。局麻,置眼睑牵引缝线,环行剪开结膜、筋膜。充分分离并暴露眼外肌,据据需要剪断1—3条眼肌。充分清理巩膜表面,再进一步核查并标出裂孔位置。 Due to the continuous improvement of examination and treatment techniques, the cure rate of retinal detachment has been greatly improved, and the reported rate in the literature has reached about 89%. However, more than 90 ° above the huge retinal detachment, is basically helpless, the effect is not satisfied. For these cases, we designed a 180 ° macroscopic retinal detachment that was designed to puncture the ball with a pure needle and insert it into the scleral incision. The laminectum was strengthened after lacrimal fascia was strengthened, and balloon inflated. This surgical report is not available in China. Therefore, we introduce the following: Procedures Full preoperative dilatation, detailed examination of the fundus, adequate knowledge of vitreous, retinal and hiatus conditions. Tacas fascia from the outer thigh cut, 6 cm long, 4-6 mm wide. Put it in 0.5% Qingda solution after use. Local anesthesia, eyelid traction suture, ring cut open conjunctiva, fascia. Full separation and exposure of extraocular muscles, according to the need to cut 1-3 eye muscles. Clear scleral surface, and then further verification and mark the hole location.