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自从Gonin发现裂孔是原发性视网膜脱离的原因,并且可通过封闭裂孔得到治愈以来,至今已有50年历史。虽然今天仍在奉行这一治疗原则,但随着技术上的进步,疗效已大为提高。现在,先进的成功率已在90％以上,对一些过去认为无法治愈的病例,也逐步得到解决,以下择要简介近二十年来的一些进展。一、检查技术上的进步充分了解眼内情况,特别是视网膜和玻璃体情况,是治疗上非常重要的前提。近代眼底检查用的眼底镜,直接眼底镜有充足的亮度对寻找裂孔及观察视网膜改变是很有利的。双目间接眼底镜的出现,对扩大眼底可见范围及作立体观察都
It has been 50 years since Gonin discovered that the hole is the cause of primary retinal detachment and can be cured by closing the hole. Although this principle of treatment is still being pursued today, the efficacy has been greatly improved as the technology advances. At present, the advanced success rate has been above 90%. Some cases that were considered incurable in the past have also been gradually solved. The following are some briefings on some of the progress made in the past two decades. First, check the technical progress Fully understand the situation within the eye, especially the retina and vitreous, is a very important prerequisite for treatment. Modern fundus examination with ophthalmoscope, direct ophthalmoscope with sufficient brightness to find holes and observe the retinal changes is very favorable. The emergence of binocular indirect ophthalmoscope, to expand the visible range of the fundus and for stereoscopic observation