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在视网膜剥离治疗手术中,Custodis首先提出巩膜外加压手术,1965年Linecoff报告了采用硅海棉作巩膜外加压材料取得很好效果。此法已在国外广泛应用。本法系正对视网膜裂孔巩膜表面电凝或冷凝封闭裂孔,用硅胶块置于上面,褥式加压缝合。使较大之巩膜嵴突于眼内,缩小眼球内腔,顶压裂孔,从而使脱离的视网膜与脉络膜相贴,使裂孔封闭。同时使萎缩的玻璃体对视网膜的牵引得到缓解,提高手术的治愈率。我院使用晨光化工厂的透明硅胶作加压材料,共治疗51例(52眼),祝网膜剥离,前将方法与结果介绍如下:
In the treatment of retinal detachment, Custodis first proposed extra-scleral compression surgery, and in 1965 Linecoff reported the use of silicone sponge for extra-scleral compression. This method has been widely used abroad. This law is on the surface of retinal hiatus sclera coagulation or condensation of closed holes, placed in a silicone block above, mattress compression stitching. So that the larger scleral crest in the eye, narrowing the eye cavity, the top of the pressure hole, so that detachment of the retina and choroid phase paste, the hole closed. At the same time so that atrophy of the retina traction of the vitreous to be alleviated and improve the cure rate of surgery. Our hospital used Chenguang chemical plant transparent silicone pressure materials, a total of 51 cases (52 eyes), I wish omentum stripping, before the method and results are as follows: