严格把握玻璃体切割手术在葡萄膜炎诊治中的应用

The role of vitrectomy in the diagnosis and treatment of uveitis

葡萄膜炎病因复杂,临床表现多种多样,诊治非常棘手。详细的病史询问、全面的眼部检查及实验室检查是其诊断的重要依据。近年来,随着微创玻璃体切割手术的出现,其在葡萄膜炎诊治中应用的越来越多。它可以协助确诊病因,处理葡萄膜炎的眼底并发症,同时存在一定的治疗效用。但值得强调的是,严格把握手术适应证极为重要。只有正确合理的利用玻璃体切割手术,才能真正提高葡萄膜炎的早期诊断和有效治疗水平。

The etiology of uveitis is complex and the clinical manifestations are varied.Diagnosis and treatment are often very difficult.Detailed medical history,thorough ocular examination and laboratory examination are important basis for diagnosis.In recent years,with the appearance of microincision vitrectomy surgery,it has been applied widely in the diagnosis and treatment of uveitis.It can confirm diagnosis,manage the fundus complications of uveitis,and has certain therapeutic effects.But it is worth emphasizing that the indications of vitrectomy must be strictly controlled.Suitable indications and surgical timing are the key to the effective diagnosis and treatment of uveitis.