后巩膜加固术治疗高度近视黄斑裂孔性视网膜脱离

目的：探讨改进的后巩膜加固术对高度近视黄斑裂孔性视网膜脱离的治疗效果。 方法：1993年3月至1995年11月对住院的20例高度近视黄斑裂孔性视网膜脱离患者的20只眼，采用后巩膜加固术治疗，有关临床资料进行回顾分析。 结果：眼轴可对比的14只眼，术前与出院时的均值为28.22mm与26.87mm，17只眼视网膜复位，获得0.02一0.2的矫正视力，3只眼失败，增殖性玻璃体视网膜病变(proliferative vitreous retinopathy，PVR)加重。 结论：后巩膜加固术可有效治疗无严重PVR的高度近视黄斑裂孔所致的视网膜脱离，不必采用视网膜粘连法以尽量保存残留的中心视力。 （中华眼底病杂志，1996，12：214-216）

POSTERIOR SCLERAL REINFORCEMENT IN THE TREATMENT OF RETINALDETACHMENT WITH MACULAR HOLE IN HIGH MYOPIC PATIENTS

OBJECTIVE:The study was undertaken to evaluate the clinical effects of an improvedposterior seleral reinforcement procedure for retinal detachment(RD)with macular hole in high myopicpatients. METHODS:Twenty high myopic eyes with RD and macular hole were treated in our hospitalfrom March 1993 to November 1995 with posterior scleral reinforcement surgery and were retrospectiv-ely analysed. RESULTS:The average length of ocular axis was 28.22 mm on admission and 26.87 mmon discharge in 14 comparable eyes. The retinas were reattached in 17 eyes with corrected vision of 0.02~0.2. The surgery was failed in 3 eyes and the PVR got worse. CONCLUSION :The improved pro-cedure can efficiently treat high myopic patients with RD and macular hole without severe PVR,andmight be better for preserving the survival central vision than choroiretinal adhesive methods. （Chin J Ocul Fundus Dis,1996,12: 214-216）