葡萄膜炎所致慢性低眼压的手术治疗
The surgical management of chronic hypotony due to uveitis.
作者信息
de Smet M D, Gunning F, Feenstra R
机构信息
Department of Ophthalmology, Academic Medical Center, University of Amsterdam, Amsterdam 1105 AZ, The Netherlands.
出版信息
Eye (Lond). 2005 Jan;19(1):60-4. doi: 10.1038/sj.eye.6701425.
PURPOSE
Evaluate surgery in chronic hypotony secondary to uveitis.
METHOD
Retrospective analysis of six patients operated for chronic hypotony (< or =5 mmHg) of at least 1 month's duration. Surgery involved removal of all traction and membranes on the ciliary processes. Use of oil was limited to patients with atrophic ciliary processes.
RESULTS
The average postoperative follow-up was 24 months (12-43). The average pressure increase was 7 mmHg at 6 months. Four of six uveitis patients had significantly increased vision.
CONCLUSION
Improved vision, and a sustained pressure rise are possible in hypotonous uveitis. The presence of ciliary processes is necessary. However, they do not need to be intact.
目的
评估针对葡萄膜炎继发慢性低眼压的手术治疗效果。
方法
对6例慢性低眼压（眼压≤5 mmHg）持续至少1个月的患者进行手术的回顾性分析。手术包括清除睫状突上的所有牵引和膜。仅对睫状突萎缩的患者使用硅油。
结果
术后平均随访24个月（12 - 43个月）。6个月时平均眼压升高7 mmHg。6例葡萄膜炎患者中有4例视力显著提高。
结论
低眼压性葡萄膜炎患者视力有可能改善，眼压也可能持续升高。睫状突的存在是必要的。然而，它们无需完整无损。
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