提高孔源性视网膜脱离一次性手术成功率,总结失败原因具有重大意义,本文收集1981～1991年住院病例中,经首治网脱手术失败及网膜复位后再脱离手术共14例,现将失败原因作如下分析。 1 一般资料;14只眼,男10人,女4人。右眼8只,左眼6只。年龄16岁～71岁。发病时间最短24h,最长5年。屈光状态:近视眼11只(78.6％),其中高度近视9只;正视眼2只(14.3％);远视眼1只(7.1％)。玻璃体情况;玻璃体明显混浊,条索、浓缩10只(71.5％),晶状体轻度混浊3只(21.4％),无晶体眼1只(7.1％)。有外伤史12只(85.9％),其中纯伤8只;锐伤4只。视网膜脱离范围:大多为2—3个象限。裂孔位置:多位于赤道部9只;其次为美斑及其它部位5只。裂孔数目近 Improve the success rate of rhegmatogenous retinal detachment one-time operation, summarize the cause of failure is of great significance, this collection of hospitalized cases from 1981 to 1991, after the failure of the first net surgery and retinal detachment surgery after a total of 14 cases from the surgery, now The reason for the failure is analyzed as follows. 1 General information; 14 eyes, 10 males and 4 females. 8 right eye, 6 left eye. Age 16 years old to 71 years old. The shortest onset time 24h, a maximum of 5 years. Refractive status: Myopia 11 (78.6%), of which 9 were high myopia; 2 (14.3%) were presbyopia; 1 hyperopia (7.1%). The vitreous was cloudy, the cord was concentrated in 10 (71.5%), the lens was slightly turbid in 3 (21.4%) and the other was uncoated (7.1%). A history of trauma 12 (85.9%), of which 8 were pure wounds; sharp injury 4. Retinal detachment range: mostly 2-3 quadrants. Holes location: more in the equator 9; followed by the United States and other parts of the plaque 5. Number of holes close