丝裂霉素 C 小梁切除术后反复发作的前葡萄膜炎。
Recurrent anterior uveitis after trabeculectomy with mitomycin C.
机构信息
Faculty of Medicine, University of Montreal, Montreal, Quebec.
出版信息
Can J Ophthalmol. 2009 Dec;44(6):697-9. doi: 10.3129/i09-170.
OBJECTIVE
To report 4 cases of recurrent anterior uveitis occurring 1-11 months after trabeculectomy with mitomycin C.
DESIGN
Observational case series.
PARTICIPANTS
Four patients in whom recurrent uveitis developed after trabeculectomy with mitomycin C, followed at Maisonneuve-Rosemont Hospital in Montreal, Quebec.
METHODS
Retrospective review of the medical records.
RESULTS
One to 11 months after trabeculectomy with mitomycin C, noninfectious, recurrent anterior uveitis developed in 4 patients with no prior history of uveitis. Topical and intravitreal corticosteroids were effective in reducing acute inflammation, yet 2 patients went on to have chronic anterior uveitis.
CONCLUSIONS
Recurrent anterior uveitis presenting later than 3 weeks postoperatively may be associated with trabeculectomy with mitomycin C. It should be included in the differential diagnosis of a nonresolving blebitis.
目的
报告 4 例在丝裂霉素 C 小梁切除术后 1-11 个月发生的复发性前葡萄膜炎。
设计
观察性病例系列。
参与者
4 例在魁北克省蒙特利尔的 Maisonneuve-Rosemont 医院接受丝裂霉素 C 小梁切除术后发生复发性葡萄膜炎的患者。
方法
回顾性病历审查。
结果
在丝裂霉素 C 小梁切除术后 1-11 个月，4 例无葡萄膜炎病史的患者发生非感染性、复发性前葡萄膜炎。局部和玻璃体内皮质类固醇可有效减轻急性炎症，但 2 例患者随后发生慢性前葡萄膜炎。
结论
术后 3 周以上出现的复发性前葡萄膜炎可能与丝裂霉素 C 小梁切除术有关。它应包括未解决的巩膜炎的鉴别诊断。
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