Kurz M, Sheetal N
Klin Monbl Augenheilkd. 1981 Dec;179(6):528-30. doi: 10.1055/s-2008-1057384.
In ten cases of retrolental fibroplasia no significant relationship could be found between the stage of the disease and the neonatological values. The treatment given - laser coagulation, subconjunctival cortisone injections (glaucoma, complicated cataract) and pars plana vitrectomy - triggered different reactions in the eyes. Laser coagulation interrupted the process but fresh proliferation occurred; pars plana vitrectomies were followed by rapid efflorescences of the proliferations: Only in two of eight cases in stage V was vision permitting orientation achieved, with strikingly good close-range vision in one case. The considerable efforts involved and the mental strain on parents, patients and physicians are discussed in the light of the low rate of surgical success. A positive result can only be achieved if certain prophylactic rules are observed.
在10例晶状体后纤维增生症患者中,未发现疾病阶段与新生儿学指标之间存在显著关联。所采用的治疗方法——激光凝固术、结膜下皮质类固醇注射(青光眼、复杂性白内障)和平坦部玻璃体切除术——在眼部引发了不同反应。激光凝固术虽中断了病程,但出现了新的增殖;平坦部玻璃体切除术后增殖迅速出现:仅V期的8例患者中有2例获得了可用于定向的视力,其中1例近视力非常好。鉴于手术成功率较低,讨论了所涉及的巨大努力以及给父母、患者和医生带来的精神压力。只有遵守某些预防规则才能取得积极结果。