Smith R E, Kokoris N, Nobe J R, Diddie K R, Cherney E F
Trans Am Ophthalmol Soc. 1983;81:261-75.
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.
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。