Roveda J M, Roveda C E
J Fr Ophtalmol. 1979 May;2(5):343-7.
It is insisted in the importance of the rising venous pressure as a cause of concause of the loss of the vitreous and the expulsive hemorrhages. We remind a simple way of measuring the venous pressure clinically and we recommend the inclined position of the patient as a prophylactic way to avoid the venous hyperpressure. While we do not have the operative tables that allow us to perform that inclination as low as oculists are used to operate sitting and with microscope, we suggest a simple way to obtain the inclination in a common low stretcher, with a triangular pillow. Some details are also advised, so the general anesthesia does not rise the venous pressure. The article specially pointing out the importance of the venous pressure, expressely omits the reminding of the surgical rules assigned to prevent the vitreous complications, because they are already known and exposed by the authors in other publications.
有人坚持认为,静脉压升高是导致玻璃体丧失和驱逐性出血的一个原因。我们介绍一种临床测量静脉压的简单方法,并建议患者采用倾斜体位作为预防静脉高压的措施。虽然我们没有能像眼科医生习惯的那样在坐着并使用显微镜操作时将患者倾斜到那么低角度的手术台,但我们建议用一个三角枕在普通的低担架上获得这种倾斜的简单方法。还给出了一些细节建议,以便全身麻醉不会使静脉压升高。这篇特别指出静脉压重要性的文章明确省略了对预防玻璃体并发症的手术规则的提及,因为这些规则作者已在其他出版物中介绍过且广为人知。