Fetkenhour C L, Hauch T L
Am J Ophthalmol. 1980 May;89(5):662-6. doi: 10.1016/0002-9394(80)90285-8.
One hundred seventy-five consecutive and unselected patients with retinal detachment were treated with a scleral buckling procedure without inducing a thermal adhesion. In 143 (82%) of these patients reattachment was successful after one operation. In 32 patients (18%) reattachment was not initially successful. These failures resulted from buckle malposition, periretinal proliferation, new or missed breaks, and the inability to close giant tears. Fifteen of the 32 reattached after subsequent scleral buckling without thermal adhesion. Final success was achieved, therefore, in 158 (90%) of the original group of 175 cases. We concluded that a chorioretinal scar might have prevented initial failure only in those cases of buckle malposition. The high incidence (17, [10%]) of periretinal proliferation, accounting for all of our final failures, did not concur with or support previous impressions indicating a causal relationship between thermal treatment and proliferative complications.
对175例未经挑选的连续性视网膜脱离患者进行了巩膜扣带术，术中未形成热粘连。其中143例（82%）患者一次手术后视网膜复位成功。32例（18%）患者最初视网膜复位未成功。这些失败是由于扣带位置不当、视网膜前增殖、新裂孔或遗漏裂孔以及无法封闭巨大裂孔所致。32例中有15例在随后未行热粘连的巩膜扣带术后视网膜复位。因此，在最初的175例患者中，158例（90%）最终获得成功。我们得出结论，脉络膜视网膜瘢痕可能仅在那些扣带位置不当的病例中防止了最初的失败。视网膜前增殖的高发生率（17例，[10%]）是导致所有最终失败的原因，这与之前认为热处理与增殖性并发症之间存在因果关系的观点不一致，也不支持该观点。
