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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～ 4 5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
Objective To investigate the therapeutic value of vitreous surgery on the complications of uveitis. Methods 14 patients (14 eyes) with severe acute and chronic uveitis were included in this study. Six patients (6 eyes) with severe vitreous opacity, five patients (5 eyes) with cataract, five patients with rhegmatogenous retinal detachment (5 eyes) ). Fourteen patients underwent vitrectomy with the transected ciliary body. Some patients underwent lens resection, scleral condensation, scleral buckling, silicone packing, intraocular photocoagulation, gas-liquid exchange or Intraocular silicone oil filling. Postoperative patients were followed up 18 ~ 45 months. Results The postoperative visual acuity of 12 eyes was significantly improved. The preoperative visual acuity of 2 eyes was light sensation. The visual acuity was not changed after operation. The retina was completely reset in 5 cases of retinal detachment. The systemic medication was reduced in 14 cases and the inflammation was controlled. Conclusion Vitreous surgery is an effective method for the treatment of severe uveitis complication, which can significantly improve the patient’s visual acuity and reduce systemic dosage