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本世纪三十年代Gonin发现视网膜裂孔是原发性视网膜脱离的原因,首先采用烙白金烧灼封闭视网膜裂孔来治疗视网膜脱离,我们认为要治愈视网膜脱离除裂孔外,对眼底的详细全面检查及玻璃体的病理性改变的了解亦是非常重要的。随着科学技术的发展,通过临床实践的深入,对视网膜脱离的检查、诊断及治疗等方面亦有不断的提高,现在其治愈率亦提高到90%以上。本文着重叙述玻璃体变性与视网膜脱离的关系,视网膜脱离膜形成的分级、视网膜脱离的治疗原则及渗漏性视网膜脱离等。
In the 1930s, Gonin found that retinal breaks are the cause of primary retinal detachment. First, bronchial cautery was used to treat closed retinal tears to treat retinal detachment. We believe that to cure the detachment of retinal detachment, detailed examination of the fundus and vitreous Understanding of pathological changes is also very important. With the development of science and technology, the depth of clinical practice has also continuously improved the examination, diagnosis and treatment of retinal detachment. Now the cure rate has also been raised to more than 90%. This article focuses on the relationship between vitreous degeneration and retinal detachment, the classification of retinal detachment, the treatment of retinal detachment and leakage of retinal detachment.