玻璃体切除术治疗中间葡萄膜炎的玻璃体视网膜并发症

[Vitrectomy surgery for the treatment of the vitreo-retinal complications of the pars planitis].

作者信息

Molina-Prat N, Adán A M, Mesquida M, Pelegrini L, Rey A, Alvarez G

机构信息

Instituto Clinic de Oftalmología, Hospital Clinic i Provincial de Barcelona, Barcelona, España.

出版信息

Arch Soc Esp Oftalmol. 2010 Oct;85(10):333-6. doi: 10.1016/j.oftal.2010.07.003. Epub 2010 Nov 9.

DOI:10.1016/j.oftal.2010.07.003

PMID:21168058

Abstract

OBJECTIVE

To evaluate the effect of pars plana vitrectomy in the management of patients with pars planitis.

METHODS

A retrospective analysis of the clinical course, post-operative complications and recurrent uveal inflammation following pars plana vitrectomy in patients with pars planitis.

RESULTS

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%).

CONCLUSIONS

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.

摘要

目的

评估玻璃体切除术治疗周边部葡萄膜炎患者的效果。

方法

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。

结果

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。