Crick M D, Chignell A H
Trans Ophthalmol Soc U K (1962). 1977 Jul;97(2):272-4.
In a series of cases of retinal detachment without visible holes, failure was not associated with local procedures but, as in all cases of retinal detachment, with membrane formation and retinal fibrosis. In total detachments with no localizing signs we favoured the encirclement procedure. In this group of thirty cases of retinal detachment in which no hole could be found we achieved the surprisingly high success rate of 87 per cent, but in as many as seventeen of the thirty cases a local buckle was applied to the most likely site of the tear. We therefore feel that the principle of performing the least traumatic procedure, i.e. a local procedure, can still be followed in a considerable number of these challenging cases.
在一系列没有可见裂孔的视网膜脱离病例中，手术失败并非与局部手术相关，而是与所有视网膜脱离病例一样，与膜形成和视网膜纤维化有关。在没有定位体征的完全性视网膜脱离病例中，我们倾向于采用环扎手术。在这组30例未发现裂孔的视网膜脱离病例中，我们取得了高达87%的惊人成功率，但在这30例病例中，多达17例在最可能的裂孔部位进行了局部加压。因此，我们认为在相当多这类具有挑战性的病例中，仍然可以遵循实施创伤最小手术即局部手术的原则。
