黄斑裂孔视网膜脱离,以往都应用电凝封洞,放液,后极部外填压或作黄斑部兜带术治疗。据报道治愈率可达91.2％、83.6％。Robertson等认为尽管术后视网膜在解剖上复位的成功率很高,但视力结果常常使人失望。罗传琪等对126例黄斑裂孔视网膜脱离术后随访发现,出院后的视力比出院时更差。分析其原因是裂孔封闭不良,过度的电凝或冷凝,造成出院后黄斑部继发性大片变性,甚至坏死。 Macular hole retinal detachment, the past are used electrocoagulation seal hole, drain, post-external pressure or macular dedication bandage treatment. Reportedly, the cure rate can reach 91.2% and 83.6%. Robertson et al concluded that despite the high rate of anatomic reduction of the postoperative retina, vision outcomes are often disappointing. Luo Chuanqi and other 126 cases of macular hole retinal detachment after follow-up found that after discharge, visual acuity worse than when discharged. Analysis of the reasons for the poor sealing hole, excessive coagulation or condensation, resulting in secondary macular degeneration after discharge, or even necrosis.