Malalis Julia F, Bhat Pooja, Shapiro Michael, Goldstein Debra A
a Northwestern University Feinberg School of Medicine , Chicago , Illinois , USA.
b Illinois Eye and Ear Infirmary , University of Illinois at Chicago , Chicago , Illinois , USA.
Ocul Immunol Inflamm. 2017 Jun;25(3):344-348. doi: 10.3109/09273948.2015.1125511. Epub 2016 Feb 22.
To describe the course of retinoschisis in patients with pars planitis (PP).
Chart review of PP patients seen July 2012-September 2014 at a single institution.
Included were 34 patients (68 eyes). Uveitis was bilateral in all cases. Thirteen eyes (19%) developed retinoschisis. In six patients (86%), the schisis was bilateral. The average follow-up of patients with schisis was 7 years; the average best-corrected visual acuity (BCVA) was 20/22 at last follow-up. Schisis was noted to develop or progress in patients with both active and inactive inflammation. Five eyes of five patients underwent vitrectomy; three for disease control, with scleral buckle to reduce residual traction. Two eyes required vitrectomy for retinal detachment with progressive schisis, despite inactive uveitis. Seven eyes remained stable without intervention.
Retinoschisis is a common complication in patients with PP. It is typically bilateral, and may develop or progress, despite control of uveitis.
描述中间葡萄膜炎（PP）患者视网膜劈裂的病程。
对2012年7月至2014年9月在单一机构就诊的PP患者进行病历回顾。
纳入34例患者（68只眼）。所有病例葡萄膜炎均为双侧性。13只眼（19%）发生视网膜劈裂。6例患者（86%）劈裂为双侧性。发生劈裂患者的平均随访时间为7年；最后一次随访时平均最佳矫正视力（BCVA）为20/22。在炎症活动期和非活动期患者中均发现有劈裂发生或进展。5例患者的5只眼接受了玻璃体切除术；3只为控制病情，采用巩膜扣带术以减少残余牵拉。2只眼尽管葡萄膜炎不活动，但因伴有进展性劈裂的视网膜脱离而需要玻璃体切除术。7只眼未经干预病情保持稳定。
视网膜劈裂是PP患者的常见并发症。通常为双侧性，且尽管葡萄膜炎得到控制仍可能发生或进展。
