目的：探讨微创折叠球囊巩膜外加压治疗孔源性视网膜脱离(RRD)的临床效果。

方法： 回顾性研究。收集2023-05/07于我院采用折叠球囊行微创巩膜外加压术连续治疗的RRD患者11例11眼，术中均采用结膜下麻醉、不做肌肉牵拉线、不做术中视网膜裂孔定位，不做视网膜冷冻和视网膜下放液、不做球囊巩膜固定缝线，观察手术最佳矫正视力(BCVA)、眼压和术后并发症。

结果：纳入11眼中视网膜成功复位10眼(91%)，1眼(9%)术后视网膜再脱离，因多发视网膜裂孔行玻璃体切除联合硅油填充术。成功行球囊顶压手术的10眼中球囊顶压一次成功4眼(40%)，球囊顶压后行玻璃体注气1眼(10%)，球囊顶压后再次调位3眼(30%)，球囊顶压后再次调位及玻璃体腔注气2眼(20%)； 5眼(50%)术后4-12 wk行球囊取出，视网膜脱离无复发； 术前平均最佳矫正视力(LogMAR)为1.30±1.10，术后4 wk为0.37±0.39(P<0.01)； 术前平均眼压11.51±3.37 mmHg，术后4 wk为13.72±2.57 mmHg(P>0.05)。所有患者术后均未发生严重并发症。

结论：微创折叠球囊巩膜外加压手术创伤小、操作简单、节省时间、并发症少，是治疗RRD的有效方法。

METHOD: This retrospective study enrolled 11 patients(11 eyes)with RRD treated with minimally invasive FCB scleral buckling at the Hainan Traditional Chinese Medicine Hospital from May to July 2023. The surgeries were performed without subconjunctival anesthesia, extraocular muscle pulling, intraocular positioning, retinal cryotherapy or drainage of subretinal fluid, or FCB suture fixation. Furthermore, the best corrected visual acuity(BCVA), intraocular pressure and complications were observed.

RESULTS: Minimally invasive FCB scleral buckling was performed on 11 eyes, with successful retinal reattachment in 10 eyes(91%), and the remaining 1 eye(9%)had postoperative retinal re-detachment and underwent vitrectomy with silicone oil filling for multiple retinal tears. One-time successful surgery was in 4 eyes(40%), gas injection in vitreous body after the surgery was performed in 1 eye(10%), FCB position adjustment after the surgery was performed in 3 eyes(30%), gas injection in vitreous body and FCB position adjustment after the surgery were performed in 2 eyes(20%); and FCB was removed 4-12 wk after the surgery in 5 eyes(50%), without retinal redetachment. The average BCVA(LogMAR)of the 10 eyes improved from 1.30±1.10 before surgery to 0.37±0.39 at 4 wk after surgery(P<0.01); the average preoperative intraocular pressure was 11.51±3.37 mmHg and 13.72±2.57 mmHg at 4wk after surgery(P>0.05). No serious complications occurred.

CONCLUSION:Minimally invasive FCB scleral buckling effectively treats RRD with minimal injury, simple operation, time-saving, and fewer complications.