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本文报告了18例黄斑裂孔性视网膜脱离的手术治疗效果。手术均采用巩膜电凝+巩膜外垫压。18例中16例黄斑部裂孔封闭网膜复位。其余二例,一例因周边部裂孔未完全封闭而失败,另一例因巩膜外垫压的硅胶管断裂,黄斑裂孔未完全封闭失败。我们体会到涤龙布外垫压效果可靠。黄斑部在巩膜表面的标志,由于个体差异,有一定的变异。我们碰到的病例中,有一例黄斑部的位置距下斜肌后附着6mm,还有一例睫状后长动脉为并排的二根。
This article reports the surgical treatment of 18 cases of macular hole retinal detachment. Surgical scleral coagulation + scleral pad pressure. Eighteen cases of macular holes closed the omentum in 18 cases. In the other two cases, one case failed due to the incomplete closure of the periocular hole, and the other case failed due to the scleral buckling of the silicone tube and the incomplete closure of the macular hole. We realized that the effect of polyester padding padding is reliable. Macular markings on the surface of the sclera, due to individual differences, there are some variations. Among the cases we encountered, there was a case in which the location of the macula was 6 mm behind the posterior oblique muscle, and the other two posterior ciliary long arteries were side-by-side.