玻璃体手术治疗葡萄膜炎合并症

目的 探讨玻璃体手术对葡萄膜炎合并症的治疗价值。方法 14例（14只眼）严重急、慢性葡萄膜炎患者,其中合并重度玻璃体混浊6例（6只眼）,白内障5例（5只眼）,孔源性视网膜脱离5例（5只眼）。14例患者均行经睫状体平坦部的玻璃体切除术,部分患者根据病情联合中行经睫状体平坦部的晶状体切除、巩膜冷凝、巩膜环扎、硅胶填压、眼内光凝、气液交换或眼内硅油填充术。术后患者随访18－45个月。结果 12只眼术后视力明显提高,2只眼术前视力为光感,术后视力无改变;5例视网膜脱离患者术后视网膜完全复位;14例患者术后全身用药减少,炎症得到控制。结论 玻璃体手术是治疗严重葡萄膜炎合并症的有效方法,可以明显提高患者视力,减少全身用药量。

Therapeutic vitrectomy for severe uveitis and its complications

Objective To investigate the therapeutic value of vitrectomy for uveitis and its complications. Methods Vitrectomy was performed on 14 patients (14 eyes) with uveitis. In these 14 eyes, there were 6 eyes with severe opacity of vitreous, 5 eyes with cataract, 5 eyes with retinal detachment, and 3 eyes with poor response to medication. Pars plana lenectomy, scleral cryopexy, buckling procedure, endolaser photocoagulation, gas fluid exchange or silicone oil intraocular tamponade were added according to the differrent needs. The follow up varied from 18 to 45 months. Results Twelve of the 14 eyes obtained better visual acuity, and in the other two light perception remained; less drugs were used after operation in all cases, and the uveitis was controlled. Conclusion Vitrectomy is an effective method for severe uveitis and its complications both in the improvement or stabilization of visual acuity and in the reduction or cessation of systemic treatment.