Familial exudative vitreoretinopathy - Results of surgical management
Familial exudative vitreoretinopathy - Results of surgical management
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DOI：
10.1016/s0161-6420(98)96002-x
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发表时间：
1998-06-01
期刊：
影响因子：
13.7
通讯作者：
Trese, MT
中科院分区：
文献类型：
--
作者：
Pendergast, SD;Trese, MT
目的：本研究的目的是报告家族性渗出性玻璃体视网膜病变（FEVR）的手术治疗结果。设计：本研究设计是一项回顾性临床研究。参与者：26例FEVR患者的52只眼睛进行了连续系列研究。干预：所有眼睛进行了完整的眼部检查，并采用新的分类系统进行分级。根据疾病的严重程度，眼睛接受周边激光光凝，巩膜扣带术，或玻璃体切除术。主要结果Measures：术前和术后的视觉功能和黄斑的解剖状态的主要参数evaluated.Results：共40眼进行了治疗。7只眼无需治疗，5只眼存在无法手术的视网膜脱离。15眼最初接受周边激光消融治疗，25眼因视网膜脱离需要玻璃体视网膜手术。在最初接受激光治疗的15只眼中，8只眼无需进一步治疗，而7只眼进展为视网膜脱离，需要玻璃体视网膜手术。共32只眼（包括7只先前接受激光手术的眼）接受了玻璃体视网膜手术。这32只眼中有29只眼至少随访6个月。最后一次随访时，18只眼（62.1%）黄斑完全附着。视力范围为20/25至光感，29只眼中有10只（34.5%）达到20/100或更好的Snellen视力。两眼（6.3%）进展到没有光perception.Conclusion：这些数据表明，手术干预可以在选定的FEVR的情况下是有益的。
Objective: The purpose of the study was to report the results of surgical management of familial exudative vitreoretinopathy (FEVR).Design: The study design was a retrospective clinical study.Participants: A consecutive series of 52 eyes of 26 patients with FEVR were studied.Intervention: All eyes underwent a complete ocular examination and were graded using a new classification system. Depending on the severity of disease, eyes were treated with peripheral laser photocoagulation, scleral buckling, or vitrectomy.Main Outcome Measures: Preoperative and postoperative visual functions and anatomic status of the macula were the main parameters evaluated.Results: A total of 40 eyes were treated. Seven eyes required no treatment and five eyes had inoperable retinal detachments. Fifteen eyes were treated with peripheral laser ablation initially and 25 eyes presenting with retinal detachments required vitreoretinal surgery. Of the 15 eyes treated initially with laser, 8 eyes required no further treatment, whereas 7 eyes progressed to retinal detachment requiring vitreoretinal surgery. A total of 32 eyes (including 7 previously lasered eyes) underwent vitreoretinal surgery. Twenty-nine of these 32 eyes had at least 6 months of follow-up. At the last follow-up visit, the macula was attached completely in 18 eyes (62.1%). Visual acuity ranged from 20/25 to light perception, with 10 (34.5%) of the 29 eyes achieving Snellen acuities of 20/100 or better. Two eyes (6.3%) progressed to no light perception.Conclusion: These data suggest that surgical intervention can be beneficial in selected cases of FEVR.