ぶどう膜炎に対する硝子体手術

Pars plana vitrectomy in uveitis

　網膜剥離や硝子体混濁を合併した桐沢型ぶどう膜炎2例，周辺性ぶどう膜炎1例，サルコイド性ぶどう膜炎1例，病因不明のぶどう膜炎3例に行った硝子体手術の成績について検討した．硝子体混濁の除去と網膜剥離の復位を目的とした4例中3例では網膜が復位し，硝子体混濁の除去を目的とした2例と硝子体混濁とmacular puck-erの除去を目的とした1例では手術目的を達した．手術を中止した高度の増殖性硝子体網膜症の桐沢型ぶどう膜炎の1例以外は手術による併発症は特にみられず，5例では術後視力が改善した．

We performed pars plana vitrectomy with encir-cling scleral buckling in 7 uveitis eyes with vitreous opacity and/or retinal detachment. The series in-cluded 2 eyes with Kirisawa-type uveitis or acute retinal necrosis, 1 with peripheral uveitis, 1 with sarcoid uveitis, and 3 with uveitis of unknown etiology.

The retina was reattached in all the 3 eyes includ-ing 2 eyes with temporary silicone oil tamponade. Vitreous opacity was relieved in 2 eyes. Vitrectomy was a success in another eye with vitreous opacity and epiretinal membrane in the macula. Vitrectomy had to be interrupted in an eye with Kirisawa-type uveitis due to severe proliferative retinopathy with predictable poor visual prognosis. The procedure was free of complications. Improvement in final postoperative vision resulted in 5 eyes.

Rinsho Ganka (Jpn J Clin Ophthalmol) 42(10) : 1133-1137, 1988