玻璃体切除术治疗感染性眼内炎的晚期玻璃体视网膜后遗症：手术管理与结果
PARS PLANA VITRECTOMY FOR LATE VITREORETINAL SEQUELAE OF INFECTIOUS ENDOPHTHALMITIS: Surgical Management and Outcomes.
作者信息
Thomas Benjamin J, Mehta Neesurg, Yonekawa Yoshihiro, Sridhar Jayanth, Kuriyan Ajay E, Relhan Nidhi, Liang Michelle C, Woodward Maria A, Witkin Andre J, Shah Chirag, Flynn Harry W, Garg Sunir J, Wolfe Jeremy D
机构信息
*Associated Retinal Consultants, William Beaumont Hospital, Oakland University School of Medicine, Royal Oak, Michigan; †Mid Atlantic Retina, Wills Eye Hospital, Jefferson Medical College, Philadelphia, Pennsylvania; ‡Bascom Palmer Eye Institute, University of Miami Hospital, Miami, Florida; §Ophthalmic Consultants of Boston, Boston, Massachusetts; ¶New England Eye Center, Tufts University School of Medicine, Boston, Massachusetts; and **Kellogg Eye Center, University of Michigan, Ann Arbor, Michigan.
出版信息
Retina. 2017 Apr;37(4):651-656. doi: 10.1097/IAE.0000000000001208.
PURPOSE
To report the visual acuity outcomes after pars plana vitrectomy for delayed vitreoretinal sequelae of infectious endophthalmitis. All eyes were initially treated with intravitreal antibiotics (Abx).
METHODS
Multicenter, retrospective, consecutive case series.
RESULTS
Forty-two eyes met the study criteria. The mean follow-up was 48 weeks (SD ± 61.8). Mean interval from Abx to pars plana vitrectomy was 13 weeks (SD ± 14.3, range 2-70). Indications for pars plana vitrectomy included vitreous opacities (VO) (n = 22), epiretinal membrane (n = 9), and retinal detachment (n = 11). LogMAR visual acuity improved from 1.87 (Snellen equivalent: 20/1,482) preoperatively to 1.35 (Snellen equivalent: 20/447) at final evaluation (P < 0.001). LogMAR visual acuity improved significantly for patients with vitreous opacities (P < 0.01) and retinal detachment (P = 0.02) but not for patients with epiretinal membranes (P = 0.08).
CONCLUSION
Patients with infectious endophthalmitis can gain vision if they have a pars plana vitrectomy for delayed sequelae such as vitreous opacities or for retinal detachment.
目的
报告经扁平部玻璃体切割术治疗感染性眼内炎延迟性玻璃体视网膜后遗症后的视力结果。所有患眼最初均接受玻璃体内抗生素治疗。
方法
多中心、回顾性、连续病例系列研究。
结果
42只患眼符合研究标准。平均随访时间为48周（标准差±61.8）。从使用抗生素到进行扁平部玻璃体切割术的平均间隔时间为13周（标准差±14.3，范围2 - 70周）。扁平部玻璃体切割术的适应证包括玻璃体混浊（n = 22）、视网膜前膜（n = 9）和视网膜脱离（n = 11）。LogMAR视力从术前的1.87（Snellen视力表等效值：20/1482）提高到最终评估时的1.35（Snellen视力表等效值：20/447）（P < 0.001）。玻璃体混浊患者（P < 0.01）和视网膜脱离患者（P = 0.02）的LogMAR视力有显著提高，但视网膜前膜患者的视力无显著提高（P = 0.08）。
结论
感染性眼内炎患者若因玻璃体混浊等延迟性后遗症或视网膜脱离接受扁平部玻璃体切割术，视力可得到改善。
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