平坦部玻璃体切割治疗眼部Behcet并发症

• 作 者: Sullu Y. Alotaiby H. Beden U. Erkan D. 邢咏新
• 机 构: Department of Ophthalmology Faculty of Medicine Ondokuz Mayis University 55139 Samsun Turkey,
• 出 处: 世界核心医学期刊文摘.眼科学分册
• 发表日期: 2005年11期
• 关键词: 玻璃体切割 黄斑囊样水肿 并发症 玻璃体切除术 视网膜脱离 月间 葡萄膜炎 玻璃体出血 视网膜前膜 玻璃体混浊

BACKGROUND AND OBJECTIVES: To evaluate the outcomes of vitreoretinal surgery f or the ocular complications of Behet’s disease. PATIENTS AND METHODS: This re trospective study included 20 eyes of 15 patients with Behet’s disease (9 men , 6 women; mean age at surgery, 31.0±1.8 years; range, 21-44 years) who had un dergone vitreoretinal surgery for Behet’s disease at Ondokuz Mayis University , Faculty of Medicine, Department of Ophthalmology, Samsun, Turkey, between Janu ary 2000 and September 2003. Postoperative visual acuity outcome, course of uvei tis, and complications were evaluated in all patients. RESULTS: Indications for surgery were vitreous opacities in 10 eyes (50%), cystoid macular edema in 5 ey es (25%), epiretinal membrane in 3 eyes (15%)-, and vitreous hemorrhage in 2 eyes (10%). At the last postoperative follow-up, visual acuity had increased 2 Snellen lines or more in 10 (50%) of 20 eyes. Cystoid macular edema completely improved in 3 (60%) of 5 eyes after vitrectomy. Uveitis attacks significantly decreased during follow-up (P=.015). Immunosuppressive treatment was stopped in 11 (73%) of 15 patients. Retinal detachment and phthisis were not observed in any eye. CONCLUSION: Vitreoretinal surgery may be useful in the treatment of pos terior segment complications of Behet’s disease.

BACKGROUND AND OBJECTIVES: To evaluate the outcomes of vitreoretinal surgery f or the ocular complications of Behet’s disease. PATIENTS AND METHODS: This re trospective study included 20 eyes of 15 patients with Behet’s disease (9 men, 6 women; mean age at surgery, 31.0 ± 1.8 years; range, 21-44 years) who had un dergone vitreoretinal surgery for Behet’s disease at Ondokuz Mayis University, Faculty of Medicine, Department of Ophthalmology, Samsun, Turkey, between Janu ary 2000 and September 2003 . RESULTS: Indications for surgery were vitreous opacities in 10 eyes (50%), cystoid macular edema in 5 ey es (25%), epiretinal membrane in At the last postoperative follow-up, visual acuity had increased 2 Snellen lines or more in 10 (50%) of 20 eyes. Cystoid macular edema completely (3%) -, and vitreous hemorrhage in 2 eyes improved in 3 (60%) of 5 eyes after vitre Immunosuppressive treatment was stopped in 11 (73%) of 15 patients. Retinal detachment and phthisis were not observed in any eye. CONCLUSION: Vitreoretinal surgery may be useful in the treatment of pos terior segment complications of Behet’s disease.