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慢性葡萄膜炎的晶状体切除-玻璃体切除术

Lensectomy-vitrectomy in chronic uveitis.

作者信息

Smith R E, Kokoris N, Nobe J R, Diddie K R, Cherney E F

出版信息

Trans Am Ophthalmol Soc. 1983;81:261-75.

Abstract

Cataract extraction in patients with chronic uveitis may be hazardous, although recent studies have indicated an improvement in prognosis using lensectomy-vitrectomy techniques in selected cases of uveitic cataracts. The results of lensectomy-vitrectomy in 12 eyes with uveitic cataract are reported. All patients had improvement in vision. No significant "flare-up" of the underlying uveitis occurred. The importance of extensive preoperative evaluation is emphasized. The major cause of decreased acuity postoperatively was persistent cystoid macular edema, a complication of chronic inflammation.

摘要

对于患有慢性葡萄膜炎的患者,白内障摘除术可能具有危险性,尽管最近的研究表明,在某些葡萄膜炎性白内障病例中,采用晶状体切除术-玻璃体切除术技术可改善预后。本文报告了12例葡萄膜炎性白内障患者行晶状体切除术-玻璃体切除术的结果。所有患者的视力均有改善。潜在的葡萄膜炎未出现明显的“复发”。强调了全面术前评估的重要性。术后视力下降的主要原因是持续性黄斑囊样水肿,这是慢性炎症的一种并发症。

引用本文的文献

1
[Therapeutic vitrectomy in uveitis: current status and recommendations].
Ophthalmologe. 2003 Oct;100(10):787-95. doi: 10.1007/s00347-003-0918-8.
2
Long-term results of pars plana vitrectomy in the management of complicated uveitis.
Br J Ophthalmol. 1994 Jul;78(7):549-54. doi: 10.1136/bjo.78.7.549.
3
Ocutome lensectomy: results and complications.
Br J Ophthalmol. 1991 Aug;75(8):482-6. doi: 10.1136/bjo.75.8.482.

本文引用的文献

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