ANTERIOR HYALOIDAL FIBROVASCULAR PROLIFERATION AFTER DIABETIC VITRECTOMY
ANTERIOR HYALOIDAL FIBROVASCULAR PROLIFERATION AFTER DIABETIC VITRECTOMY
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DOI：
10.1016/0002-9394(87)90173-5
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发表时间：
1987-12-15
影响因子：
4.2
通讯作者：
WILLIAMS, GA
中科院分区：
文献类型：
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作者：
LEWIS, H;ABRAMS, GW;WILLIAMS, GA
采用玻璃体切除术治疗糖尿病视网膜病变并发症74例。61只眼平均随访12个月，8只眼（13%）出现前玻璃体纤维血管增生。这是最常见的术后并发症，其特征包括反复出血进入玻璃体腔或玻璃体前部，或两者兼而有之；晶状体后囊上的血管或纤维维管组织；前视网膜外血管向前玻璃体晶状体延伸；牵引性视网膜或睫状体脱离；和张力减退。出现这种并发症的患者往往是患有严重视网膜新生血管和广泛视网膜缺血的年轻男性；牵引视网膜脱离作为手术指征；巩膜扣的放置；术后虹膜红肿，复发性玻璃体出血，视网膜脱离；还要做多次手术。4只眼进展为眼球萎缩。两名患者在早期识别后进行了额外的手术，另外两名患者进行了广泛的额外光凝治疗，成功地保持了良好的视觉功能。
Vitrectomy was performed to treat 74 consecutive eyes for complications of diabetic retinopathy. Eight (13%) of 61 eyes followed up for an average of 12 months developed anterior hyaloidal fibrovascular proliferation. This was the most common postoperative complication, whose features included recurrent hemorrhages into the vitreous cavity or anterior vitreous, or both; vessels or fibrovascular tissue on the posterior lens capsule; anterior extraretinal vascularization extending toward the lens on the anterior hyaloid; traction detachment of the peripheral retina or ciliary body; and hypotony. Patients who developed this complication tended to be young males with severe retinal neovascularization and extensive retinal ischemia; traction retinal detachment as an indication for surgery; placement of a scleral buckle; postoperative rubeosis iridis, recurrent vitreous hemorrhages, and retinal detachment; and multiple surgeries. Four eyes progressed to atrophia bulbi. Early recognition followed by additional surgery in two patients and extensive additional photocoagulation in two other patients was successful in preserving good visual function.