Amemiya T, Iida T
Ophthalmologica. 1980;181(2):88-92. doi: 10.1159/000309032.
About 96% of retinal detachments with a macular hole were cured by surgery. The most effective surgical procedure was diathermy with a macular buckling method and scleral infolding at the temporal part of the equatorial region, the rate of success being 100%. Only diathermy or diathermy plus scleral infolding at the temporal part of the equatorial region could reattach all detached retinas. Since macular buckling procedures made visual acuity worse, techniques without macular buckling should be used in cases without macular atrophy or degeneration of myopia. Retinal hemorrhage during or after operation was the most frequent complication (50%) of surgery for retinal detachment with a macular hole and occurred more frequently when macular buckling procedures were used. Macular hemorrhage caused deterioration of postoperative visual acuity.
伴有黄斑裂孔的视网膜脱离约96%通过手术治愈。最有效的手术方法是透热疗法结合黄斑扣带术以及赤道部颞侧巩膜内褶术，成功率为100%。仅采用透热疗法或透热疗法联合赤道部颞侧巩膜内褶术就能使所有脱离的视网膜复位。由于黄斑扣带手术会使视力变差，对于没有黄斑萎缩或近视性变性的病例，应采用不进行黄斑扣带的技术。手术期间或术后视网膜出血是伴有黄斑裂孔的视网膜脱离手术最常见的并发症（50%），并且在采用黄斑扣带手术时更频繁发生。黄斑出血导致术后视力恶化。
