Machemer R
Am J Ophthalmol. 1984 Dec 15;98(6):681-93. doi: 10.1016/0002-9394(84)90682-2.
The combination of traction on the retina and of intraocular currents in the presence of a retinal hole is the cause of rhegmatogenous retinal detachment. The strong suction forces of the pigment epithelium and choroid counteract such a development. Chorioretinal scars serve as a seal against currents. Eliminating the effects of traction and of intraocular currents and making use of the absorption forces of the pigment epithelium and choroid are the primary aims in successfully treating rhegmatogenous retinal detachment. Direct closure of the retinal hole is not always necessary.
视网膜裂孔存在时,视网膜上的牵引力与眼内电流相结合是孔源性视网膜脱离的原因。色素上皮和脉络膜的强大吸力可抵消这种发展。脉络膜视网膜瘢痕可作为抵御电流的屏障。消除牵引力和眼内电流的影响,并利用色素上皮和脉络膜的吸收力,是成功治疗孔源性视网膜脱离的主要目标。视网膜裂孔并非总是需要直接封闭。