Yu H G, Chung H
Department of Ophthalmology, College of Medicine, Seoul National University, Korea.
Korean J Ophthalmol. 1994 Jun;8(1):20-5. doi: 10.3341/kjo.1994.8.1.20.
To determine surgical results and predictive factors of final visual acuity, a total of 30 eyes in 30 uveitis patients who underwent vitreous surgery including pars plana vitrectomy were followed for at least 6 months and various preoperative factors and postoperative results were analyzed. Our surgical indications were vitreous opacity, traction retinal detachment, combined rhegmatogenous-traction detachment. Preoperatively detached retina was finally reattached in 15 (83.3%) of 18 eyes. Final visual acuity improved in 19 (63.3%) of 30 eyes, but decreased in 3 eyes compared with the initial acuity. Cystoid macular edema was the main cause of poor visual acuity after surgery. Eyes with good final visual acuity showed relatively normal electroretinograms before surgery, but the relationship between them was not statistically significant. Duration of postoperative inflammation affected final visual acuity significantly. These results suggest that chronic uveitis patients with vitreoretinal complications can be managed by vitreous surgery with good anatomic and functional results.
为了确定手术效果及最终视力的预测因素，对30例接受包括扁平部玻璃体切除术在内的玻璃体手术的葡萄膜炎患者的30只眼睛进行了至少6个月的随访，并分析了各种术前因素和术后结果。我们的手术指征为玻璃体混浊、牵引性视网膜脱离、孔源性-牵引性联合脱离。术前，18只眼中有15只（83.3%）的视网膜最终复位。30只眼中有19只（63.3%）的最终视力提高，但与初始视力相比，有3只眼视力下降。黄斑囊样水肿是术后视力不佳的主要原因。最终视力良好的眼睛术前视网膜电图相对正常，但二者之间的关系无统计学意义。术后炎症持续时间对最终视力有显著影响。这些结果表明，患有玻璃体视网膜并发症的慢性葡萄膜炎患者可通过玻璃体手术获得良好的解剖和功能效果。
