玻璃体切割术后因增殖性糖尿病视网膜病变后遗症进行的再次手术。
Re-operation following pars plana vitrectomy for the sequelae of proliferative diabetic retinopathy.
作者信息
Brown G C, Benson W E, Tasman W S, McNamara J A
机构信息
Retina Vascular Unit, Wills Eye Hospital, Thomas Jefferson University, Philadelphia, PA.
出版信息
Trans Pa Acad Ophthalmol Otolaryngol. 1990;42:955-8.
A review of 306 eyes undergoing pars plana vitrectomy for the complications of proliferative diabetic retinopathy revealed that 26 (8.5%) required a second vitrectomy operation. Among the eyes that required repeat vitrectomy, the eventual visual acuity ranged from 20/20 to 20/400 in 35% and was no light perception in 31%. Reasons for subsequent surgery included recurrent vitreous hemorrhage in 54% of eyes, retinal detachment in 42% and neovascular glaucoma in 4%. Twelve eyes (46%) remained with a permanent retinal detachment despite attempts at surgical repair, and eleven of these twelve eyes subsequently developed rubeosis iridis.
对306只因增生性糖尿病视网膜病变并发症而接受玻璃体切除术的眼睛进行回顾发现，26只（8.5%）需要进行第二次玻璃体切除手术。在需要重复玻璃体切除术的眼睛中，最终视力在20/20至20/400之间的占35%，无光感的占31%。后续手术的原因包括54%的眼睛出现复发性玻璃体出血，42%的眼睛发生视网膜脱离，4%的眼睛出现新生血管性青光眼。尽管进行了手术修复尝试，仍有12只眼睛（46%）出现永久性视网膜脱离，这12只眼睛中有11只随后发生了虹膜红变。
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