分析双眼裂孔源性视网膜脱离的临床特点。方法 :对 92例双眼裂孔源性视网膜脱离发病率 ,玻璃体病变 ,屈光状态 ,视网膜裂孔形态、数目、分布 ,膜分级 ,手术方法及治疗结果进行分析。结果 :双眼裂孔源性视网膜脱离发病率为 12 5 4% ,双眼视网膜脱离患者中 6 9 5 7%为 30岁以内青少年 ,92例双眼视网膜脱离中 81例为近视眼 ,双眼视网膜脱离之裂孔形态以圆孔为主 ,在数量、分布上双眼高度对称 ,手术成功率与膜分级关系密切。结论 :提示近视是双眼裂孔源性视网膜脱离发生的重要因素 ,强调对青少年视网膜脱离双眼检查及定期随访的必要性。 To analyze the clinical features of retinal detachment with binocular origin. Methods: The incidence of rhegmatogenous retinal detachment, vitreous lesions, refractive status, retinal hole morphology, number, distribution, membrane grading, surgical methods and treatment outcome were analyzed in 92 eyes. Results: The incidence of retinal hole retinal detachment in 12 eyes was 125.4%. In the binocular retinal detachment group, 67.5% of the eyes were adolescents under 30 years old. Among the 92 cases, 81 cases were retinal detachment in myopia and binocular retinal detachment. The main features of circular holes in the number, distribution of highly symmetrical eyes, the success rate of surgery and membrane grading are closely related. Conclusion: It is suggested that myopia is an important factor in the development of retinal detachment due to retinal detachment in eyes. It emphasizes the necessity of binocular examination and regular follow-up of retinal detachment in adolescents.