Mittelman D, Bakos I M
J Pediatr Ophthalmol Strabismus. 1984 Sep-Oct;21(5):186-9. doi: 10.3928/0191-3913-19840901-07.
In order to investigate the role of retinal cryopexy in the management of accidental perforation of the globe during strabismus surgery, the retinas of 30 rabbit eyes were perforated with a needle simulating the clinical incident. Ten of these eyes received no further treatment, ten eyes were treated with moderate transscleral cryopexy of the surrounding retina, and the remaining ten eyes were treated with excessively heavy cryocoagulation. The incidence of secondary retinal detachment was identical in the first two groups of rabbits, while it was markedly increased in those rabbits treated with excessively heavy transscleral cryopexy (P less than .01). Based on these findings and a review of the literature, recommendations are made for the management of accidental perforation of the globe during strabismus surgery.
为了研究视网膜冷冻疗法在斜视手术中眼球意外穿孔处理中的作用，用针模拟临床情况对30只兔眼的视网膜进行穿孔。其中10只眼未接受进一步治疗，10只眼接受了周边视网膜适度经巩膜冷冻疗法，其余10只眼接受了过度的重度冷冻凝固治疗。前两组兔眼继发性视网膜脱离的发生率相同，而接受过度重度经巩膜冷冻疗法的兔眼继发性视网膜脱离的发生率明显增加（P小于0.01）。基于这些发现并结合文献回顾，对斜视手术中眼球意外穿孔的处理提出了建议。
