Kopecky Adam, Nemcansky Jan
Clinic of Ophthalmology, University Hospital Ostrava, Czech Republic.
First Faculty of Medicine, Charles University Prague, Czech Republic.
Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub. 2019 Sep;163(3):207-211. doi: 10.5507/bp.2019.014. Epub 2019 Apr 17.
Pars plana vitrectomy is currently the most common technique used in retinal surgery. Although primarily involving the posterior segment of the eye it also affects the anterior segment. As this is a less published topic, the aim of this paper was to review the literature on changes in the anterior segment after uncomplicated pars plana vitrectomy using data based literature search. The conclusions are that even in otherwise ophthalmologically healthy patients, complications may occur in the anterior segment. Surgeons need to pay utmost attention in glaucoma patients and in those with endothelial insufficiency who are at highest risk of complications. He/she must also correctly plan a potential cataract surgery if not already done earlier. From the literature, most of the changes in the anterior segment after uncomplicated PPV are found to be temporary.
目前，玻璃体切割术是视网膜手术中最常用的技术。尽管该手术主要涉及眼球后段，但也会影响前段。由于这是一个较少被发表的主题，本文旨在通过基于数据的文献检索，回顾关于单纯玻璃体切割术后前段变化的文献。结论是，即使在其他方面眼科健康的患者中，前段也可能出现并发症。外科医生需要特别关注青光眼患者以及那些内皮功能不全、并发症风险最高的患者。如果之前尚未进行，外科医生还必须正确规划潜在的白内障手术。从文献中可以发现，单纯玻璃体切割术后前段的大多数变化是暂时的。
