SURGICAL MANAGEMENT OF ADVANCED FAMILIAL EXUDATIVE VITREORETINOPATHY WITH COMPLICATIONS
SURGICAL MANAGEMENT OF ADVANCED FAMILIAL EXUDATIVE VITREORETINOPATHY WITH COMPLICATIONS
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晚期家族性渗出性玻璃体视网膜病变并发并发症的手术治疗
DOI：
10.1097/iae.0000000000000961
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发表时间：
2016-08-01
影响因子：
3.3
通讯作者：
Zhao, Peiquan
中科院分区：
文献类型：
--
作者：
Fei, Ping;Yang, Wenjie;Zhao, Peiquan
目的：目的：探讨晚期家族性渗出性玻璃体视网膜病变（Fevitreoretinopathy，Fevitreoretinopathy）的治疗方法。方法：回顾性分析25例34眼Fevitreoretinopathy的严重并发症，包括视网膜脱离、角膜混浊、浅或扁平前房、白内障、瞳孔后粘连、继发性青光眼、玻璃体出血和视网膜前出血。结果：患者平均年龄为3.52 ± 5.94岁。其中22眼行晶状体切除术，9眼行晶状体联合玻璃体切除术，2眼行晶状体联合玻璃体切除术，1眼行保留晶状体的玻璃体切除术。术后26/28眼浅或扁平前房恢复正常，10/22眼角膜混浊消失或改善，22/24眼继发性青光眼得到控制。玻璃体切除术12只眼，视网膜复位5只眼，部分复位7只眼。最终视力范围为无光感至30/200（n = 17）。结论：晚期家族性渗出性玻璃体视网膜病变的手术治疗是解决并发症和保护视功能的有效方法。分期晶状体切除术和玻璃体切除术是晚期家族性渗出性玻璃体视网膜病变伴角膜并发症和/或血管活性纤维血管增生的一种替代方法。
Purpose: To report the management of complicated advanced familial exudative vitreoretinopathy in a predominantly young population.Methods: This retrospective study was performed on 34 eyes of 25 patients with severe complications of advanced familial exudative vitreoretinopathy, including retinal detachment, corneal opacity, shallow or flat anterior chamber, cataract, posterior pupillary adhesion, secondary glaucoma, vitreous hemorrhage, and preretinal hemorrhage. Preoperative and postoperative clinical information was reviewed.Results: The average age of the patients was 3.52 +/- 5.94 years. Of the 34 eyes, 22 underwent lensectomy, 9 underwent lensectomy combined with vitrectomy, 2 underwent staged lensectomy and vitrectomy, and 1 underwent lens-sparing vitrectomy. After surgery, the shallow or flat anterior chamber became normal in 26/28 eyes; corneal opacity disappeared or improved in 10/22 eyes; and secondary glaucoma was controlled in 22/24 eyes. Among the 12 eyes operated by vitrectomy, the retina was attached in 5 eyes and partly attached in 7. Final visual acuity ranged from no light perception to 30/200 (n = 17). All 5 eyes with preoperative and postoperative visual acuity records showed improvement.Conclusion: Surgical intervention is recommended to resolve complications of advanced familial exudative vitreoretinopathy and to preserve visual function. Staged lensectomy and vitrectomy is an alternative for advanced familial exudative vitreoretinopathy with corneal complications and/or vascularly active fibrovascular proliferation.