严重的玻璃体视网膜增殖病变仍是目前玻璃体手术的难题,自1985年Haut报道首例360°视网膜切开以来,对此手术陆续有少量报道,取得一定疗效。为了探讨手术的临床应用价值,将作者主刀的全周视网膜切开病例作一分析讨论。材料与手术方法资料取自1994年8月～1999年12月所作的全周视网膜切开共21例(眼),占作者同期视网膜玻璃体手术眼的1.6%,其中急性视网膜坏死2眼及术后取油失访1眼除外,本文入选18眼,均为严重的前部视网膜玻璃体增殖病变,视网膜全脱离,术中经剥 Serious vitreoretinal proliferative lesions are still the crux of vitreous surgery. Since the first case of 360 ° retinal incision was reported by Haut in 1985, a small number of reports of this procedure have been made and some curative effects have been achieved. In order to explore the clinical value of surgery, the author of the surgeon for the whole case of retinal detachment for an analysis to discuss. MATERIALS AND METHODS Surgical data were obtained from 21 cases (eyes) of total retinal incision made from August 1994 to December 1999, accounting for 1.6% of the patients with retinal vitreous surgery eyes during the same period. Among them, 2 cases of acute retinal necrosis and postoperative With the exception of oil-losing one eye, this article was selected 18, are severe anterior retinal proliferations, retinal detachment, intraoperative stripping