自从Gonin于60多年前介绍视网膜脱离手术原则以来,视网膜脱离的治疗已发生了重大变化,取得了空前的进展。迄今,一些过去认为无法手术治疗的病例及不复杂的原发性视网膜脱离的手术成功率已达90%。许多视网膜脱离研究中心现正集中研究那些仅用传统的扣带术预后不好的其余10%的病例。作者指出玻璃体手术及硅胶油的应用对这些复杂的视网膜脱离的治疗开辟了广阔的前景。 Since Gonin introduced the principle of retinal detachment more than 60 years ago, the treatment of retinal detachment has undergone major changes and made unprecedented progress. So far, some cases of past surgery and uncomplicated primary retinal detachment surgery considered a success rate of 90%. Many retinal detachment research centers are now focusing on the remaining 10% of patients who have had a poor prognosis with conventional buckling. The authors point out that vitreous surgery and the use of silicone oils have opened up broad prospects for the treatment of these complex retinal detachments.