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60多年前,Gonin重新强调了Leber观察到的现象:视网膜裂孔发生于玻璃体牵引部位,视网膜脱离总是起源干裂孔附近。根据此重要观察用刺激裂孔周围的脉络膜和视网膜的方法封闭裂孔就可治愈视网膜脱离。从此开始了视网膜脱离局限治疗的时代。Custodis用巩膜扣带术封闭视网膜破孔,获得很大成功。尔后眼科医生将注意力集中于通过刺激脉络膜和视网膜封闭视网膜裂孔上,今天这种方法已广为人们接受。但是,越来越多的证据表明,治疗视网膜脱离用巩膜扣带术和脉络膜视网膜粘连封闭破孔不是唯一的方法。Zauberman和Rosell观察到,许多视网膜脱离不利用脉络膜视网膜粘连,仅用巩膜扣带或环扎也能治愈。已经公认,对于有周边视网膜破孔和黄斑穿孔的视网膜脱离,仅治疗周边破孔即可治愈。眼科医生曾观察到,一些业已存在或医源性破孔,甚至有视网膜脱离不治疗
More than 60 years ago, Gonin re-emphasized the phenomenon observed by Leber: retinal tears occur in the vitreous traction site, retinal detachment always origin near the dry hole. According to this important observation retinal detachment can be cured by closing the hiatus with a method of stimulating the choroid and retina around the hiatus. From the beginning of retinal detachment limited treatment era. Custodis scleral buckling surgery to close the retinal hole, with great success. Afterwards, ophthalmologists have focused their attention on closing the retinal breaks by stimulating the choroid and the retina, which has become widely accepted today. However, there is growing evidence that treatment of retinal detachment with scleral buckling and choroidal retinal occlusion is not the only way to close the hole. Zauberman and Rosell observed that many retinal detachments do not utilize choroidal retinal adhesions and are curable with scleral buckling or cerclage alone. It is accepted that, for retinal detachment and macular perforation of the surrounding retinal detachment, only the treatment of peripheral holes can be cured. Ophthalmologists have observed that some have been or iatrogenic hole, and even retinal detachment without treatment