Morse P H
Trans Ophthalmol Soc U K (1962). 1978 Apr;98(1):147-52.
Primary success in scleral buckling operations may be enhanced by ophthalmoscopically locating all retinal breaks and accurately localizing the posterior margin of the retinal breaks at the time of operation. A scleral buckle created by either an explant or an implant must be large enough to seal the retinal break completely. In 95 per cent of retinal detachments this may be accomplished by using 7 to 7.5 mm wide buckling material in a 10.5 to 11 mm wide scleral bed which creates a buckle extending from the ora serrata to a point 5 mm posterior to the localized posterior margin of the retinal break. Although in selected cases localized scleral buckles may successfully cure a retinal separation, greater initial success will usually be obtained by a buckle which covers the greater portion of the circumferential extent of the retinal detachment.
在巩膜扣带手术中，通过检眼镜定位所有视网膜裂孔并在手术时准确确定视网膜裂孔的后缘，可提高手术的初次成功率。由外植体或植入物形成的巩膜扣带必须足够大，以完全封闭视网膜裂孔。在95%的视网膜脱离病例中，使用7至7.5毫米宽的扣带材料置于10.5至11毫米宽的巩膜床中，形成一个从锯齿缘延伸至视网膜裂孔定位后缘后方5毫米处的扣带，即可实现这一目标。虽然在某些特定病例中，局部巩膜扣带可能成功治愈视网膜脱离，但通常覆盖视网膜脱离圆周范围较大部分的扣带会取得更高的初次成功率。
