Berg P, Kroll P, Busse H
Universitäts-Augenklinik Marburg.
Klin Monbl Augenheilkd. 1990 Nov;197(5):373-7. doi: 10.1055/s-2008-1046295.
Cryotherapy is a good method of treating chronic uveitis, because it is minimally invasive and there are normally no complications. It has proved possible to reduce the frequency and intensity of inflammatory episodes, so that in many cases systemic drug therapy is superfluous. Stabilization or even regression of secondary conditions such as cystoid macular edema or cataract has been achieved, a phenomenon also observed among the present authors' own patients. In cases which did not respond to cryotherapy or where there were severe vitreous opacities vitrectomy was performed. A total of 207 eyes were followed up, on average for 1 1/2 years. During this time visual acuity remained stable or improved in 76% of those treated by cryotherapy, and in over 86% of those treated by vitrectomy.
冷冻疗法是治疗慢性葡萄膜炎的一种好方法,因为它微创,且通常无并发症。已证明可以降低炎症发作的频率和强度,因此在许多情况下全身药物治疗是多余的。已实现继发性病症如黄斑囊样水肿或白内障的稳定甚至消退,这一现象在本文作者自己的患者中也有观察到。对于对冷冻疗法无反应或存在严重玻璃体混浊的病例,则进行玻璃体切除术。总共对207只眼睛进行了随访,平均随访1年半。在此期间,接受冷冻疗法治疗的患者中有76%视力保持稳定或提高,接受玻璃体切除术治疗的患者中这一比例超过86%。