Fox G M, Flynn H W, Davis J L, Culbertson W
Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami School of Medicine, Florida 33101.
Am J Ophthalmol. 1992 Dec 15;114(6):708-14. doi: 10.1016/s0002-9394(14)74049-8.
We reviewed the long-term follow-up on a consecutive series of 16 eyes from ten patients with juvenile rheumatoid arthritis-associated cataracts that were removed by using pars plana lensectomy and vitrectomy. All patients had prominent cataracts, chronic uveitis, posterior synechiae, and vitreitis preoperatively, and had at least 12 months of follow-up postoperatively. The median length of follow-up was 51 months (range, 12 months to ten years). In the early postoperative period, a visual acuity of 20/70 or better was obtained in 13 of 16 eyes (81%). With longer follow-up, the final visual acuity was 20/70 or better in only nine of 16 eyes (56%). The primary categories of delayed visual loss in these cases were glaucoma and macular disease (chronic cystoid macular edema, macular hole, hypotony maculopathy, and recurrent macular pucker). Despite these limitations in maintaining good visual acuity, a pars plana lensectomy and vitrectomy approach is effective for cataracts in these patients with uveitis.
我们回顾了连续10例青少年类风湿性关节炎相关性白内障患者的16只眼，这些白内障采用平坦部晶状体切除术和玻璃体切除术摘除。所有患者术前均有明显白内障、慢性葡萄膜炎、后粘连和玻璃体炎，术后随访至少12个月。随访时间中位数为51个月（范围为12个月至10年）。术后早期，16只眼中有13只（81%）视力达到20/70或更好。随着随访时间延长，16只眼中仅有9只（56%）最终视力达到20/70或更好。这些病例中视力延迟丧失的主要类型为青光眼和黄斑疾病（慢性黄斑囊样水肿、黄斑裂孔、低眼压性黄斑病变和复发性黄斑前膜）。尽管在维持良好视力方面存在这些局限性，但平坦部晶状体切除术和玻璃体切除术对这些葡萄膜炎患者的白内障是有效的。
