Molina-Prat N, Adán A M, Mesquida M, Pelegrini L, Rey A, Alvarez G
Instituto Clinic de Oftalmología, Hospital Clinic i Provincial de Barcelona, Barcelona, España.
Arch Soc Esp Oftalmol. 2010 Oct;85(10):333-6. doi: 10.1016/j.oftal.2010.07.003. Epub 2010 Nov 9.
To evaluate the effect of pars plana vitrectomy in the management of patients with pars planitis.
A retrospective analysis of the clinical course, post-operative complications and recurrent uveal inflammation following pars plana vitrectomy in patients with pars planitis.
The study included 22 eyes of 19 patients. The mean follow-up was 55.7 (± 39.6) months (range 7 - 144 months). The surgical indications were, persistent vitreous opacities in 10 eyes, vitreous haemorrhage in 9 eyes, and epiretinal membrane in 3 eyes. There was an improvement in the clinical course of the uveitis in 19 of the 22 eyes (86.4%), allowing the suspension of the systemic treatment in 16 patients. An improvement of the visual acuity was observed in 20 eyes (90.9%). The most common post-operative complications were, lens opacities in 9 eyes (40.9%), and glaucoma in 4 eyes (18.2%).
The results of this study suggest that pars plana vitrectomy has a beneficial effect on the course and visual function of patients with vitreo-retinal complications associated with pars planitis.
评估玻璃体切除术治疗周边部葡萄膜炎患者的效果。
回顾性分析周边部葡萄膜炎患者行玻璃体切除术后的临床病程、术后并发症及葡萄膜炎复发情况。
该研究纳入19例患者的22只眼。平均随访时间为55.7（±39.6）个月（范围7 - 144个月）。手术指征为，10只眼存在持续性玻璃体混浊，9只眼有玻璃体出血，3只眼有视网膜前膜。22只眼中有19只眼（86.4%）葡萄膜炎的临床病程有所改善，16例患者得以停用全身治疗。20只眼（90.9%）视力得到改善。最常见的术后并发症为，9只眼（40.9%）出现晶状体混浊，4只眼（18.2%）发生青光眼。
本研究结果表明，玻璃体切除术对与周边部葡萄膜炎相关的玻璃体视网膜并发症患者的病程及视觉功能有有益影响。
