Combined Posterior Chamber Intraocular Lens, Vitrectomy, Retisert, and Pars Plana Tube in Noninfectious Uveitis
Combined Posterior Chamber Intraocular Lens, Vitrectomy, Retisert, and Pars Plana Tube in Noninfectious Uveitis
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DOI：
10.1001/archophthalmol.2011.1425
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发表时间：
2012-07-01
影响因子：
--
通讯作者：
Mahmoud, Tamer H.
中科院分区：
文献类型：
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作者：
Ahmad, Zaaira M.;Hughes, Bret A.;Mahmoud, Tamer H.
目的：评估联合白内障摘除术，后房型人工透镜放置，睫状体平坦部玻璃体切除术，氟轻松玻璃体内植入物（Retisert），艾哈迈德阀与睫状体平坦部管（CPR-PT）的慢性，后部，非感染性葡萄膜炎的眼睛的安全性和有效性。结果包括视力，眼压，炎症和并发症。结果：8只眼，平均随访18个月。平均视力从1.89提高到0.14 logMAR（Snellen，在2 ft [0.6 m]处数手指），提高到20/30; P=.01）。平均眼内压保持稳定在16至17 mm Hg（P=.35）。每只眼睛的青光眼药物数量从2.9减少到0.25（P=.01）。术后9个月，所有患者均停止全身泼尼松治疗。所有患眼的炎症均得到良好控制。结论：CPR-PT手术可以快速恢复视力，无严重的短期并发症。
Objective: To assess the safety and efficacy of combined cataract extraction, posterior chamber intraocular lens placement, pars plana vitrectomy, fluocinolone acetonide intravitreal implant (Retisert), and Ahmed valves with pars plana tube (CPR-PT) in eyes with chronic, posterior, noninfectious uveitis.Methods: Retrospective study of patients who underwent CPR-PT. Outcome measures included visual acuity, intraocular pressure, inflammation, and complications.Results: Eight eyes were included, with a mean follow-up of 18 months. Mean visual acuity improved from 1.89 to 0.14 logMAR (Snellen, counting fingers at 2 ft [0.6 m]) to 20/30; P=.01). Mean intraocular pressure remained stable at 16 to 17 mm Hg (P=.35). The number of glaucoma medications per eye decreased from 2.9 to 0.25 (P=.01). Systemic prednisone therapy was discontinued in all patients by 9 months postoperatively. Inflammation was well controlled in all eyes.Conclusion: The CPR-PT procedure allows rapid visual rehabilitation without major short-term complications.