Chronic hypotony management using endoscopy-assisted vitrectomy after severe ocular trauma or vitrectomy  

作　　者：Yong-Zhen Yu Xiu-Lan Zou Xuan-Ge Chen Chu Zhang Yang-Yang Yu Meng-Yi Zhang Yu-Ping Zou 

机构地区：[1]Department of Ophthalmology,General Hospital of Southern Theater Command,Guangzhou 510010,Guangdong Province,China [2]Guangzhou University of Traditional Chinese Medicine,Guangzhou 510405,Guangdong Province,China [3]Department of Ophthalmology,the Second People’s Hospital of Foshan,Foshan 528000,Guangdong Province,China [4]The First School of Clinical Medicine,Southern Medical University,Guangzhou 510515,Guangdong Province,China

出　　处：《International Journal of Ophthalmology(English edition)》2023年第6期947-954,共8页国际眼科杂志（英文版）

基　　金：Supported by the Guangdong Province Natural Science Foundation (No.2019A1515011732);Guangzhou Science and Technology Foundation of Guangdong Province (No.202002030413)。

摘　　要：·AIM: To report outcomes of endoscopy-assisted vitrectomy(EAV) in patients with chronic hypotony following severe ocular trauma or vitrectomy.·METHODS: This was a retrospective, noncomparative case series. Ciliary bodies were evaluated using ultrasound biomicroscopy pre-operatively and direct visualisation intraoperatively. All selected individuals(seven patients/seven eyes) underwent EAV. Removal of ciliary membrane and traction, gas/silicone oil tamponade(GT/SOT), and scleral buckling(SB) were performed in selected eyes. Outcome measurements mainly included intraocular pressure(IOP) and best-corrected visual acuity(BCVA).·RESULTS: Seven eyes from 7 male aphakic patients with a mean age of 45(range, 20-68)y were included in this study;the average follow-up time was 12(9-15)mo. GT was performed in 2 eyes;membrane peeling(MP) and SOT in 2 eyes;and MP, SOT, and SB in 3 eyes. The mean preand post-operative IOP were 4.5(range, 4.0±0.11 to 4.8±0.2) mm Hg and 9.9(range, 5.6±0.17 to 12.1±0.2) mm Hg at 52wk(12mo), respectively. BCVA improved in six eyes;one eye still showed light perception, and no bulbi phthisis was observed.·CONCLUSION: Endoscopy offers improved judgment and recognition and has an improved prognosis for chronic hypotony. Therefore, endoscopy can be an effective and promising operative technique for chronic traumatic hypotony management.

关 键 词：endoscopy-assisted vitrectomy chronic hypotony anterior proliferative vitreoretinopathy anterior vitreous segment trauma 

分 类 号：R779.6[医药卫生—眼科]