Schönfeld C L, Weissschädel S, Heidenkummer H P, Kampik A
Department of Ophthalmology, University of Würzburg, Germany.
Ger J Ophthalmol. 1995 Jan;4(1):37-42.
Between 1987 and 1992, vitrectomies were performed in 42 eyes with intermediate uveitis. Pre- and postoperative clinical and ophthalmological parameters were reviewed. Especially the pre- and postoperative time courses of visual acuity were analyzed. We looked for parameters influencing the final visual results. Furthermore, we revised pre- and postoperative recurrent exacerbations of the disease and the duration and dosage of postoperative corticosteroid therapy. The best final visual results were reached in eyes with the best preoperative visual acuities. Anatomic retinal findings and the preoperative duration of intermediate uveitis predominantly influenced the final visual results. Overall, 75% of our patients reached visual acuities of above 20/200. When asked to state their opinion about the final functional result, 80% of the patients were contented. We advocate vitrectomy in patients with intermediate uveitis after intensive follow-up and careful consideration. The anatomic integrity of the retina, a good preoperative visual acuity, and a short preoperative duration of intermediate uveitis are the most important factors influencing the final visual results.
1987年至1992年间，对42例中间葡萄膜炎患者的眼睛进行了玻璃体切除术。回顾了术前和术后的临床及眼科参数。特别分析了术前和术后视力的时间变化过程。我们寻找影响最终视力结果的参数。此外，我们还回顾了术前和术后疾病的复发情况以及术后皮质类固醇治疗的持续时间和剂量。术前视力最佳的眼睛获得了最佳的最终视力结果。视网膜的解剖学表现和中间葡萄膜炎的术前持续时间主要影响最终视力结果。总体而言，我们75%的患者视力达到20/200以上。当被问及对最终功能结果的看法时，80%的患者表示满意。我们主张在对中间葡萄膜炎患者进行密切随访并仔细考虑后进行玻璃体切除术。视网膜的解剖完整性、良好的术前视力以及中间葡萄膜炎较短的术前持续时间是影响最终视力结果的最重要因素。
