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 Objective To study an economical and effective method for the treatment of retinal detachment with larger retinal tears or elevated retinal detachment for workers with different conditions. Methods The scleral flap was cut at the corresponding scleral of the retinal breaks, and the sclera was electrocoagulated with the scleral flap. The scleral flap was sutured and the subretinal fluid was released. The results were followed up for more than six months, 115 eyes, 106 eyes reached anatomic reduction, the success rate was 92 2%. Conclusion scleral electrocoagulation combined with scleral compression treatment of larger retinal tears or retinal detachment higher retinal detachment, equipment less demanding, effective, suitable for all levels of hospital applications