Machemer R, McCuen B W, de Juan E
Am J Ophthalmol. 1986 Jul 15;102(1):7-12. doi: 10.1016/0002-9394(86)90201-1.
Relaxing retinotomies and retinectomies are helpful surgical techniques in the treatment of severe cases of retinal detachment with incarcerated retinas, retinal shrinkage caused by proliferative vitreoretinopathy, proliferative vasculopathies, or injury after failure of membrane removal and scleral buckling to reattach the retina. They should be considered as a last resort. The retina is reattached with an intraocular tamponade and then treated with transvitreal laser or cryotherapy. Temporary retinal tacking at the posterior retinal edge before intraocular tamponade is helpful. The retina was attached in 18 of 45 eyes with at least six months of follow-up. Visual acuity was counting fingers or better in 11 eyes and 5/200 or better in three.
松解性视网膜切开术和视网膜切除术是治疗伴有视网膜嵌顿的严重视网膜脱离、增殖性玻璃体视网膜病变引起的视网膜萎缩、增殖性血管病变或视网膜脱离复位失败后视网膜复位手术及巩膜扣带术后损伤的有用手术技术。应将其视为最后的手段。通过眼内填充使视网膜复位，然后用经玻璃体激光或冷冻疗法进行治疗。在眼内填充前在视网膜后缘进行临时视网膜固定是有帮助的。45只眼中有18只眼视网膜复位，至少随访6个月。11只眼视力为指数或更好，3只眼视力为5/200或更好。
