文档介绍：玻璃体切除术治疗葡萄膜炎29例
吴建峰第一作者为山东中医药大学在读博士研究生
通讯作者
课题来源:山东中医药科技发展计划,编号:2009-125
毕宏生*2 解孝锋2
(1、山东中医药大学 2、山东中医药大学眼科研究所,山东中医药大学附属眼科医院,山东,济南,250002)
【摘要】目的分析探讨玻璃体切割手术治疗葡萄膜炎的作用和价值。方法对29例(29只眼)严重葡萄膜炎患者行经睫状体平坦部的玻璃体切除术;其中合并白内障10例(10只眼),孔源性或牵引性视网膜脱离11例(11只眼),严重玻璃体混浊或积血19例(19只眼);根据患者并发症联合行白内障超声乳化术、经睫状体平坦部晶状体切除术、巩膜外环扎垫压、巩膜冷凝、膨胀性气体或硅油填充术等。术后患者随访12~18个月。结果 25只眼术后视力提高,3只眼术后视力无改变,1只眼视网膜脱离复位术后因增殖性改变复发,视力下降;患者术后炎症控制良好。结论在严格手术适应症的前提下,玻璃体切除术治疗葡萄膜炎的疗效显著,可有效控制炎症、治疗并发症并提高患者视力。
【关键词】玻璃体切除术;葡萄膜炎;治疗效果;并发症
Therapeutic vitrectomy treating 29 cases of uveitis. WU Jianfeng,BI Hongsheng,XIE Xiaofeng.
【Abstract】 Objective To analyze the therapeutic action and value of vitrectomy for uveitis. Methods Pars-plana vitrectomy was performed on 29 patients (29 eyes) with severe uveitis. There were 10 cases(10 eyes)with cataract,11 cases(11 eyes)with rhegmatogenous or tractional detachment of retina,and 19 cases(19 eyes)with severe opacity or hemorrhage of vitreous in the 29 cases. According to plications of different cases,phacoemulsification,pars-plana lenectomy,scleral buckling,scleral cryopexy,gas or silicone oil intraocular tamponade were chosen simultaneous. The follow-up varied from 12 to 18 months. Results 25 of the 29 eyes obtained better visual acuity and 3 eyes remained. 1 cases reduced vision for recurrence of retinal detachment. The uveitis was good controlled after operation in all cases. Conclusi