Michels R G
Ophthalmology. 1979 Apr;86(4):556-85. doi: 10.1016/s0161-6420(79)35485-9.
Vitreous surgery techniques are useful in the management of selected retinal detachments with an otherwise poor prognosis. Vitrectomy methods can be used to remove intraocular opacities; cut vitreous sheets causing vitreo-retinal traction and separate epiretinal membranes covering or distorting the retina; provide a fluid space to aid in creation of a scleral buckle or use of an intravitreal gas bubble; perform other intraocular procedures, including transvitreal treatment of retinal breaks, transvitreal removal of subretinal fluid, and intraocular fluid-gas exchange. These surgical capabilities can be combined with conventional retinal reattachment methods to treat selected types of retinal detachment. The surgical techniques, indications for surgery, and role of vitrectomy methods in the current management of retinal detachment are reviewed.
玻璃体手术技术在治疗某些预后较差的视网膜脱离时很有用。玻璃体切割术可用于清除眼内混浊物；切除引起玻璃体视网膜牵拉的玻璃体膜片，并分离覆盖或扭曲视网膜的视网膜前膜；提供一个液体空间，以帮助形成巩膜外加压或使用眼内气泡；进行其他眼内手术，包括经玻璃体治疗视网膜裂孔、经玻璃体清除视网膜下液以及眼内液-气交换。这些手术能力可与传统的视网膜复位方法相结合，以治疗特定类型的视网膜脱离。本文综述了手术技术、手术适应证以及玻璃体切割术在当前视网膜脱离治疗中的作用。
