目的 分析探讨玻璃体切除手术治疗葡萄膜炎的作用和价值.方法 对29例(29只眼)严重葡萄膜炎患者行经睫状体平坦部的玻璃体切除术；其中合并白内障1O饲(10只眼),孔源性或牵引性视网膜脱离11例(11只眼),严重玻璃体混浊或积血19例(19只限)；根据患者并发症联合行白内障超声乳化术、经睫状体平坦部晶状体切除术、巩膜外环扎垫压、巩膜冷凝、膨胀性气体或硅油填充术等.术后患者随访12 ～ 18个月.结果 25只眼术后视力提高,3只眼术后视力无改变,1只眼视网膜脱离复位术后因增生性改变复发,视力下降；患者术后炎症控制良好.结论 在严格手术适应证的前提下,玻璃体切除术治疗葡萄膜炎的疗效显著,可有效控制炎症、治疗并发症并提高患者视力.%Objective To analyze the clinical outcomes and value of vitrectomy in treating uveitis. Methods Pars-plana vitrectomy was performed on 29 patients (29 eyes) with severe uveitis. Ten cases (10 eyes) were complicated with cataract, eleven cases (11 eyes) were complicated with rhegmatogenous or fractional retina detachment, and 19 cases (19 eyes) were complicated with severe vitreous opacity or hemorrhage. Accordingly, phacoemulsification, pars - plana le-nectomy, scleral buckling, scleral cryopexy, gas or silicone oil intraocular tamponade were chosen for different conditions. The follow-up ranged from 12 to 18 months. Results Visual acuity was improved in 25 of the 29 eyes and remained same in 3 eyes remained. In one case, visual acuity reduced after surgery due to recurred of retinal detachment. The uveitis was well controlled in all cases. Conclusion With the premise of strict indications, pars-plana vitrectomy can effectively control uveitis inflammation and complications. Patients can achieve improved or stabilized visual acuity.
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