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激光封闭黄斑穿孔,现在已是行之有效而为国内正在普及的治疗方法。然而对黄斑穿孔伴有视网膜下积液,尤其积液较多者,单用激光治疗,往往不能达到预期之效果,而手术封闭黄斑穿孔,不只难度大,破坏性也较强。为了改变这种情况,我们设计了两种治疗方法:1.激光+药物+体位疗法;2.激光+手术放水(包括巩膜缩短)。这两种方法和习惯作法不同之处在于;其一,不是等视网膜下积液消退或手术放水以后再行激光,而是激光在前,退水在后;其二,在这种情况下,激光焦点不是对准隆起的视网膜面进行凝结,而是把焦点对准
Laser closed macular perforation, it is already well-established for the treatment of domestic popular. However, macular perforation associated with subretinal effusion, especially those who accumulate more fluid, laser treatment alone, often can not achieve the desired results, and surgery to close the macula perforation, not only difficult, destructive strong. In order to change this situation, we have designed two kinds of treatment methods: 1. Laser + drug + body therapy; 2. Laser + surgical drainage (including scleral shortening). The difference between these two methods and practices lies in: First, not wait for subretinal effusion subsided or surgical drainage after the line of laser, but the laser in front of, back in the water after; Second, in this case, Instead of focusing on the raised retinal surface to condense, the laser focus instead focuses