Freyler H, Velikay M
Klin Monbl Augenheilkd. 1984 Oct;185(4):263-7. doi: 10.1055/s-2008-1054611.
Between January 1976 and December 1983, at the First University Eye Clinic in Vienna, 568 vitrectomies and 287 lensectomies were carried out; in 69 of these interventions (20 lensectomies and 49 vitrectomies) the diagnosis was uveitis. In 24 cases the indication for vitrectomy was an intermediary uveitis, a post-traumatic uveitis in 4 and a sympathetic uveitis in 6 cases as well as suppurative endophthalmitis in 7 patients. Indications for surgical removal of pathological tissue from the anterior chamber by the use of vitrectomy instrumentation were, in 4 cases each, hypopioniritis and a hemorrhagic uveitis, and in 12 cases a phacogenic uveitis. In about two thirds of this very heterogeneous patient material, employing vitrectomy made it possible to achieve regression of uveitis. In the remaining third of the patients, at least a stationary state of the disease was achieved and a reduction of corticosteroid and immunosuppressive therapy were made possible. The best functional results were achieved in all surgical interventions in the anterior ocular segment and in vitrectomies for intermediary uveitis. In suppurative endophthalmitis, however, these results were unfavorable.
1976年1月至1983年12月期间，在维也纳第一大学眼科诊所进行了568例玻璃体切除术和287例晶状体切除术；在这些手术中，有69例（20例晶状体切除术和49例玻璃体切除术）的诊断为葡萄膜炎。玻璃体切除术的指征在24例中为中间葡萄膜炎，4例为创伤后葡萄膜炎，6例为交感性葡萄膜炎，7例为化脓性眼内炎。使用玻璃体切除器械从前房手术切除病理组织的指征，在4例中为前房积脓性虹膜炎和出血性葡萄膜炎，12例为晶状体源性葡萄膜炎。在这一非常多样化的患者群体中，约三分之二的患者通过玻璃体切除术使葡萄膜炎得到缓解。在其余三分之一的患者中，至少实现了疾病的静止状态，并减少了皮质类固醇和免疫抑制治疗。在前眼部的所有手术干预以及中间葡萄膜炎的玻璃体切除术中，获得了最佳的功能结果。然而，在化脓性眼内炎中，这些结果并不理想。
