Cooling R J
Trans Ophthalmol Soc U K (1962). 1986;105 ( Pt 5):575-9.
Experience has shown that the overwhelming majority of traumatic retinal detachments are rhegmatogenous in origin. Retinal breaks are predominantly located within the vitreous base region but may occur at sites of focal scleral impact or from posterior vitreous avulsion. Although the use of scleral buckling techniques alone may be sufficient, closed microsurgery may be required to relieve trans-gel or surface retinal traction and to facilitate the identification and permanent closure of retinal breaks. Prophylactic measures including the use of closed microsurgery play a vital role in the management of traumatic retinal breaks and prevention of complex retinal detachment.
经验表明，绝大多数外伤性视网膜脱离起源于孔源性。视网膜裂孔主要位于玻璃体基底部区域，但也可能发生在巩膜局灶性撞击部位或玻璃体后脱离处。虽然单独使用巩膜扣带技术可能就足够了，但可能需要进行闭合性显微手术来缓解经玻璃体或视网膜表面的牵引，并便于识别和永久性封闭视网膜裂孔。包括使用闭合性显微手术在内的预防性措施在外伤性视网膜裂孔的处理和复杂视网膜脱离的预防中起着至关重要的作用。
