Hoerauf H, Müller M, Laqua H
Klinik für Augenheilkunde, Universitätsklinikum Lübeck.
Ophthalmologe. 2003 Aug;100(8):639-43. doi: 10.1007/s00347-002-0766-y. Epub 2003 Jun 18.
To evaluate the role of vitrectomy in patients with visually disturbing vitreous body floaters and full visual acuity (VA).
A total of 9 eyes from 8 patients (2 female, 7 male, median age 57 years) with a preoperative VA of 1.0 were analysed retrospectively. The median duration of symptoms was 12 months. In all eyes a pars plana vitrectomy was performed. The median follow-up period was 13 months.
No intraoperative or postoperative complications were observed. In all patients vision improved subjectively and objective VA remained unchanged. In 2 out of 5 phacic patients a cataract extraction was performed during the follow-up period.
In a selected group of patients vitrectomy can improve subjective vision even in eyes with full objective VA. A critical patient selection with respect to psychological criteria and the individual risk of vitrectomy is extremely important.
评估玻璃体切除术在有视觉干扰的玻璃体混浊且视力正常患者中的作用。
回顾性分析8例患者(2例女性,7例男性,中位年龄57岁)的9只眼睛,术前视力为1.0。症状的中位持续时间为12个月。所有眼睛均行睫状体平坦部玻璃体切除术。中位随访期为13个月。
未观察到术中或术后并发症。所有患者主观视力均有改善,客观视力保持不变。5例晶状体混浊患者中有2例在随访期间进行了白内障摘除术。
在选定的一组患者中,即使客观视力正常,玻璃体切除术也可改善主观视力。根据心理标准和玻璃体切除术的个体风险进行严格的患者选择极为重要。