Manchester Royal Eye Hospital, Manchester M13 9WH, UK.
Ocul Immunol Inflamm. 2010 Jan;18(1):60-3. doi: 10.3109/09273940903315784.
To describe inferior peripheral retinal elevations associated with intermediate uveitis.
Retrospective review.
Eleven eyes of 7 patients developed inferior retinal elevation secondary to intermediate uveitis. Six eyes (54.6%) were believed to have tractional retinoschisis, 2 (18.2%) had tractional retinal detachment, and the remaining 3 (27.3%) had flat retinal elevation of indeterminate type. In 10 eyes there was no evidence of progression during a mean 4-year follow-up. One eye developed extended tractional elevation with macular pucker and failed to respond to surgery. At the most recent visit, visual acuity ranged from 6/5 to NPL with a median of 6/12.
Intermediate uveitis may cause inferior peripheral retinal elevation. The authors propose that preretinal and pars plana gliosis resulting from chronic pars planitis exerts traction on peripheral retina, causing elevation, but infer that such elevation removes traction and is self-limiting. Surgery should be reserved only for macula threatening lesions.
描述与中间葡萄膜炎相关的周边下视网膜抬高。
回顾性研究。
7 名患者的 11 只眼因中间葡萄膜炎而出现下视网膜抬高。6 只眼（54.6%）被认为存在牵引性视网膜劈裂，2 只眼（18.2%）存在牵引性视网膜脱离，其余 3 只眼（27.3%）为不确定类型的扁平视网膜抬高。在平均 4 年的随访中，有 10 只眼没有发现进展的证据。1 只眼出现广泛的牵引性抬高伴黄斑皱襞，手术治疗无效。最近一次就诊时，视力范围从 6/5 到无光感，中位数为 6/12。
中间葡萄膜炎可引起周边下视网膜抬高。作者提出，慢性平坦部睫状体炎引起的视网膜前和扁平部玻璃体细胞增生对周边视网膜施加牵引力，导致视网膜抬高，但推测这种抬高可去除牵引力，具有自限性。手术应仅保留用于威胁黄斑的病变。
