一、前言视网膜剥离手术治疗的基本原则是封闭视网膜裂孔,并使剥离的视网膜与脉络膜粘连。自Jules Gonin于1920年提出“穿刺烧灼术”以后,把原来认为是不治之症的视网膜剥离变为可治之症,但当时的治愈率只能达到50％左右。对一些广泛脱离、巨大裂孔、玻璃体萎缩、玻璃体与裂孔及视网膜粘连牵引的病员则效果不佳。近30年来发展的巩膜缩短及巩膜压陷手术,使网膜剥离的手术治愈率达80％以上。 First, the preface The basic principle of retinal detachment surgery is to close the retinal tears, and to peel off the retina and choroid adhesions. Since Jules Gonin put forward “puncture and cauterization” in 1920, he turned retinal detachment, which was considered as an incurable disease, into a treatable disease, but the cure rate at that time was only about 50%. For a wide range of detachment, a huge hole, vitreous atrophy, vitreous and hiatus and retinal traction traction patients are not effective. The development of sclera in the past 30 years and scleral buckling surgery, surgery to make the cure rate of retinal detachment of more than 80%.