黄斑裂孔伴该部位视网膜高度脱离病例的手术放液,传统的方法是在赤道部放液,而不主张在黄斑部放液,因眼球后极部血管密集,在这里放液易损伤睫状后长动脉进入眼内分支和涡状静脉潜行的部分血管,造成眼底出血,进而影响视网膜回贴及视功能。我们对11例这样的病例进行了黄斑区全层巩膜电击穿刺放液,经5～13个月随访,10例手术成功,(10/11),效果满意。 1 资料与方法 1.1 临床资料 11例中男5例,女6例。年龄最小17岁,最大61岁。正视眼3只,近视眼5只,钝挫伤眼2只,穿通伤眼1只。病程多在1～3个月,个别长达半年。裂孔大小一般约1/8～1/4视盘直径。手术 Macular hole with retinal detachment of the site of surgical height, the traditional method is in the equatorial part of the liquid, but not advocated in the macular debridement, due to blood vessels at the posterior pole of the intensive, here draining easy to damage the ciliary Long artery into the eye branches and vortex venous sneaking part of the blood vessels, resulting in fundus bleeding, thereby affecting the retina and postoperative visual function. We performed 11 cases of such cases of full-thickness scleral puncture macular discharge, after 5 to 13 months follow-up, 10 cases of surgery was successful, (10/11), the results were satisfactory. 1 Materials and Methods 1.1 Clinical data 11 cases of 5 males and 6 females. The youngest 17 years old, maximum 61 years old. Eyelid 3, myopia 5, blunt 2, penetrating injury 1. More than 1 to 3 months course, some up to six months. Holes generally about 1/8 ~ 1/4 disc diameter. surgery