Witmer R
Can J Ophthalmol. 1975 Jan;10(1):15-24.
Retinal surgery commences with careful ophthalmoscopy. The surgeon must be familiar with indirect monocular and binocular ophthalmoscopy, but biomicroscopy is most essential. Buckling procedures can be produced by different techniques and should be adapted to the case. Drainage of subretinal fluid is crucial. One should avoid it if possible, but if it has to be done, care has to be taken to avoid complications. The sealing of retinal holes and tears can be performed by diathermy, cryo- and light coagulation. Each technique has its indication and should be available at the time of surgery. Vitreous surgery is still in the experimental stage, but seems to be very promising, although its main use will most probably lie outside the field of retinal detachment.
视网膜手术始于仔细的检眼镜检查。外科医生必须熟悉间接单眼和双眼检眼镜检查，但生物显微镜检查最为重要。巩膜扣带术可通过不同技术实施，应根据具体病例进行调整。视网膜下液引流至关重要。如果可能应避免，但如果必须进行，必须小心避免并发症。视网膜裂孔和撕裂的封闭可通过透热疗法、冷冻和光凝术进行。每种技术都有其适应证，手术时应具备这些技术。玻璃体手术仍处于实验阶段，但似乎很有前景，尽管其主要用途很可能不在视网膜脱离领域。
