巩膜层间电凝联合巩膜外加压治疗视网膜脱离

目的　研究一种经济、疗效好的方法治疗较大视网膜裂孔或视网膜隆起较高的视网膜脱离 ,供不同条件的工作者使用。方法　在视网膜裂孔对应的巩膜处剖切巩膜瓣 ,行巩膜层间电凝 ,缝合巩膜瓣 ,放出视网膜下液 ,在巩膜瓣表面进行外加压。结果　随诊半年以上 ,115眼中 ,10 6眼达到解剖复位 ,成功率为 92 2 %。结论　巩膜层间电凝联合巩膜外加压治疗较大视网膜裂孔或视网膜隆起较高的视网膜脱离 ,设备要求不高 ,疗效满意 ,适合于各级医院应用

Diathermy applied to the deeper layers of sclera combined with extermal scleral buckle for the treatment of retinal detachment

Objective To try to establish an inexpensive, effective operation for the retinal detachment with bigger retinal tears or obviously elevated retina. Methods We dissect scleral flap over retinal tears, applying diathermy to the deeper layers of sclera, sewing scleral flap, draining inter retinal fluid, placeing external scleral buckle. Results A follow up study of more than 6 momths, 106 eyes got anatomic reattachment in 115 eyes, the successful rate was 92.2%(106/115). Conclusions Diathermy applied to the deeper layers of sclera combined with external scleral buckle is an inexpensive, effective operation for the treatment of retinal detachment with bigger retinal tears or obviously elevated retina.