Foulds W S
Aust N Z J Ophthalmol. 1986 May;14(2):113-20. doi: 10.1111/j.1442-9071.1986.tb00021.x.
Factors responsible for retinal attachment include structural factors such as the integrity of the retina and the interdigitation of receptor cells with the retinal pigment epithelium combined with dynamic factors which include the movement of water from the vitreous to the choroid under the influence of colloid osmotic pressure in the presence of an intact posterior blood-ocular barrier. In successful retinal detachment surgery an intact cortical vitreous is important. Retinal detachments can be subdivided into simple or complex according to the degree of vitreous abnormality present. Complex detachments demand vitreous surgery and the use of vitreous substitutes. Silicone oil may have a dual role in the eye, tamponade of retinal breaks and waterproofing of the retina with which it is in contact, so reducing transretinal water movement and lightening the load on the mechanisms responsible for retinal reattachment.
导致视网膜附着的因素包括结构因素，如视网膜的完整性以及受体细胞与视网膜色素上皮的相互交错，还包括动态因素，即在完整的后部血眼屏障存在的情况下，在胶体渗透压的影响下，水从玻璃体向脉络膜的移动。在成功的视网膜脱离手术中，完整的皮质玻璃体很重要。视网膜脱离可根据存在的玻璃体异常程度分为简单性或复杂性。复杂性脱离需要玻璃体手术并使用玻璃体替代物。硅油在眼中可能具有双重作用，即填塞视网膜裂孔以及使与之接触的视网膜防水，从而减少经视网膜的水移动并减轻负责视网膜重新附着的机制的负荷。
