Volume 10 Issue 2
Sep.  2020
Turn off MathJax
Article Contents
Yu DI, Jun-jie YE. Development of Diagnostic Vitrectomy[J]. Medical Journal of Peking Union Medical College Hospital, 2019, 10(2): 152-156. doi: 10.3969/j.issn.1674-9081.2019.02.013
Citation: Yu DI, Jun-jie YE. Development of Diagnostic Vitrectomy[J]. Medical Journal of Peking Union Medical College Hospital, 2019, 10(2): 152-156. doi: 10.3969/j.issn.1674-9081.2019.02.013

Development of Diagnostic Vitrectomy

doi: 10.3969/j.issn.1674-9081.2019.02.013
More Information
  • Corresponding author: YE Jun-jie E-mail :yejunjie_xh@163.com
  • Received Date: 2018-03-14
  • Publish Date: 2020-09-18
  • Diagnostic vitrectomy is a procedure that can obtain vitreous, retina or choroid specimens from patients with intraocular inflammation or malignant tumors of obscured etiology or irresponsive to treatments. An accurate diagnosis could be obtained from vitrectomy specimens by using related laboratory diagnostic technologies. Diagnostic vitrecomy with micro-incision and the developed laboratory diagnostic technology increase the specificity and sensitivity of disease diagnosing. The review summarized the surgical indications of diagnostic vitrectomy, specimen collection and process, methods of laboratory diagnostic technology, and the development of diagnostic vitrectomy.
  • loading
  • [1] Oahalou A,Schellekens PA,de Groot-Mijnes JD, et al, Diagnostic pars plana vitrectomy and aqueous analysis in patients with uveitis of unknown cause[J].Retina, 2014, 34: 108-114. http://www.wanfangdata.com.cn/details/detail.do?_type=perio&id=75483e572dce714cc2fb94e61ae273ac
    [2] 林海燕,戴荣平,林燕楠,等. 65例诊断不明的葡萄膜炎患者玻璃体切割标本检查诊断结果分析[J].中华眼底病杂志, 2017, 7: 404-406. doi:  10.3760/cma.j.issn.1005-1015.2017.04.018
    [3] Jeroudi A, Yeh S. Diagnostic Vitrectomy for Infectious Uveitis[J]. Int Ophthalmol Clin, 2014, 54: 173-197. doi:  10.1097/IIO.0000000000000017
    [4] Bispo PJ, Melo GB, d'Azevedo PA, et al. Culture proven bacterial endophthalmitis: a 6-year review[J]. Arq Bras Oftalmol, 2008, 71:617-622. doi:  10.1590/S0004-27492008000500002
    [5] William A,Spitzer MS,Deuter C,et al. Outcomes of Primary Transconjunctival 23-Gauge Vitrectomy in the Diagnosis and Treatment of Presumed Endogenous Fungal Endophthalmitis[J]. Ocul Immunol Inflamm, 2016, 30: 1-7. http://europepmc.org/abstract/MED/26829468
    [6] Westeneng AC, Rothova A, de Boer JH, et al. Infectious uveitis in immunocompromised patients and the diagnostic value of polymerase chain reaction and Goldmann-Witmer coefficient in aqueous analysis[J]. Am J Ophthalmol, 2007, 144: 781-785. doi:  10.1016/j.ajo.2007.06.034
    [7] Hochberg FH,Miller DC. Primary central nervous system lymphoma[J]. J Neourosurg, 1988, 68: 835-853. doi:  10.3171/jns.1988.68.6.0835
    [8] Yeh S, Weichel ED, Faia LJ, et al. 25-Gauge transconjunctival suturelessvitrectomy for the diagnosis of intraocular lymphoma[J].Br J Ophthalmol, 2010, 94: 633-638. doi:  10.1136/bjo.2009.167940
    [9] Sato T, Kinoshita R, Taguchi M, et al. Assessment of diagnostic and therapeutic vitrectomy for vitrous opacity associated with uveitis with various etiology[J]. Medicine, 2018, 97: e9491. https://www.ncbi.nlm.nih.gov/pubmed/29480837
    [10] Pakdel A, Mammo Z, Hollands H,et al. Regression of subretinal lymphoma after diagnostic vitrectomy[J].JAMA Opthalmol, 2017, 135: 503-505. doi:  10.1001/jamaophthalmol.2017.0464
    [11] Quiroz-Mercado H,Rivera-Sempertegui J,Macky TA,et al. Performing vitreous biopsy by perfluorocarbon-perfused vitrctomy[J]. Am J Ophthalmol, 2005,140: 1161-1163. doi:  10.1016/j.ajo.2005.07.028
    [12] Zhang L, Yang X, Zheng Q, et al. Binocular indirect ophthalmo microscope-assistant gas-perfused pars planavitrec-tomy A novel technique for vitreous sample acquisition[J]. Medicine, 2016, 95: e5503.
    [13] Margolis R. Diagnostic vitrectomy for the diagnosis and management of posterior uveitis of unknown etiology[J]. Curr Opin Ophthalmol, 2008, 19: 218-224. doi:  10.1097/ICU.0b013e3282fc261d
    [14] Ranty ML,Laurent C,Aziza J,et al.Improving the cytological diagnosis of intraocular lymphoma from vitreousfluid[J].Histopathology, 2015, 67: 48-61. doi:  10.1111/his.12621
    [15] Errera MH, Goldschmidt P, Batellier L, et al. Real-time polymerase chain reaction and intraocular antibody production for the diagnosis of viral versus toxoplasmic infectious posterior uveitis[J]. Graefes Arch Clin Exp Ophthalmol, 2011, 249: 1837-1846. doi:  10.1007/s00417-011-1724-7
    [16] Mudhar HS, Sheard R. Diagnostic cellular yield is superior with full pars planavitrectomy compared with core vitreous biopsy[J]. Eye (Lond), 2013, 27: 50-55. doi:  10.1038/eye.2012.224
    [17] Seregard S, All-Ericsson S, Hjelmqvist L, et al. Diagnostic incisional biopsies in clinically indeterminate choroidaltumours[J].Eye(Lond), 2013, 27: 115-118. https://www.nature.com/articles/eye2012219
    [18] Coupland SE,Heimann H,Bechrakis NE. Primary intocular lymphoma: a review of the clinical, histopathological and molecular biological features[J]. Graefes Arch Clin Exp Ophthalmol, 2004, 242: 901-913. doi:  10.1007/s00417-004-0973-0
    [19] Raparia K, Chang CC, Chevez-Barrios P, et al. Intraocular Lymphoma Diagnostic Approach and Immunophenotypic Findings in Vitrectomy Specimens[J].Arch Pathol Lab Med, 2009, 133: 1233-1237. http://www.wanfangdata.com.cn/details/detail.do?_type=perio&id=255f2495f26f9afb884b15f3ba75cec2
    [20] Scott AW, Mruthyunjaya P,McCallum RM, et al. Diagnostic yield of vitreous biopsy in presumed sarcoidosis-related posterior segment inflammation[J]. Graefes Arch Clin Exp Ophthalmol, 2012, 250: 1379-1385. doi:  10.1007/s00417-012-1993-9
    [21] Li M, Ye J. Research progress in primary intraocular lymphoma[J].Chin J Ophthalmol, 2015, 51: 795-800. http://www.wanfangdata.com.cn/details/detail.do?_type=perio&id=zhyk201510021
    [22] Davis JL,Miller DM,Ruiz P. Diagnostic testing of vitrectomyspecimens[J]. Am J Ophthal, 2005, 140: 822-829. doi:  10.1016/j.ajo.2005.05.032
    [23] Sugita S, Takase H, Sugamoto Y, et al. Diagnosis of intraocular lymphoma by polymerase chain reaction analysis and cytokine profiling of the vitreous fluid[J]. Jpn J Ophthalmol, 2009, 53: 209-214. doi:  10.1007/s10384-009-0662-y
    [24] Fisson S,Ouskrim H,Touitou V,et al. Cytokine profile in human eyes:contribution of a new cytokine combination for different diagnosis between intraocular lymphaoma or uveitis[J].PloS One, 2013, 8: e52385. https://europepmc.org/articles/PMC3566156
    [25] Kitiatschky VB, Deuter C, Beck R, et al. Relationship between Suspected Reasons of Intraocular Inflammation and the Results of Diagnostic Vitrectomy: An Observational Study[J]. Ocul Immunol Inflamm, 2015, 23: 59-66. doi:  10.3109/09273948.2013.870212
    [26] Misstate T, Tielemans D, Bromberg JE, et al. Multicolor flowcytometric immunophenotyping is a valuable tool for detection of intraocular lymphoma[J]. Ophthalmology, 2013, 120: 991-996. doi:  10.1016/j.ophtha.2012.11.007
    [27] Harper TW, Miller D, Schiffman JC, et al. Polymerase chain reaction analysis of aqueous and vitreous specimens in the diagnosis of posterior segment infectious uveitis[J]. Am J Ophthalmol, 2009, 147: 140-147. doi:  10.1016/j.ajo.2008.07.043
    [28] Joseph CR,Lalitha P,Sivaraman KR, et al. Real-time polymerase chain reation in the diagnosis of acute postoperative endophthalmitis[J]. Am J Opthalmol, 2012, 153: 1031-1037. doi:  10.1016/j.ajo.2011.12.007
    [29] Arvanitis M, Anagnostou T, Fuchs BB, et al. Molecular and nonmolecular diagnostic methods for invasive fungal infections[J].Clin Microbiol Rev, 2014, 27: 490-526. doi:  10.1128/CMR.00091-13
    [30] Liu K, Fang F, Li H, Reliability of vitreous histological detection of pathogenic fungi in the diagnosis of fungal endophthalmitis[J]. Eye(Lond), 2015, 29: 424-427. http://www.wanfangdata.com.cn/details/detail.do?_type=perio&id=b2d6ab1d6bef10857bc722850c5d929e
    [31] Machemer R, Parel JM, Norton EW, et al. Vitrectomy: a pars plana approach[J]. Trans Am Acad Ophthalmol Otola-ryngol, 1971, 75: 813-820.
    [32] O'Malley C,Heintz RM Sr. Vitrectomy with an alternative instrument system[J]. Ann Ophthalmol, 1975, 7: 585-588,591-594.
    [33] Kanavi MR, Soheilian M, Hosseini SB, et al. 25-gauge transconjunctival diagnostic vitrectomy in suspected cases of intraocular lymphoma: a case series and review of the literature[J].Int J Ophthalmol, 2014, 7: 577-578. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4067679/
    [34] Oshima Y, Kadonosono K, Yamaji H, et al. Multicenter Survey with a Systematic Overview of Acute-Onset Endophth-almitis after Transconjunctival Microincision Vitrectomy Surgery[J]. Am J Ophthalmol, 2010, 150: 716-725. doi:  10.1016/j.ajo.2010.06.002
    [35] Hu AYH, Bourges JL, Shah SP, et al. Endophthalmitis after Pars Plana Vitrectomy. A 20-and 25-Gauge Comparison[J].Ophthalmology, 2009, 116: 1360-1365. doi:  10.1016/j.ophtha.2009.01.045
    [36] Kung YH, Wu TT, Lin CS. Tumor seeding after diagnostic vitrectomy for choroidal metastasis in breast cancer[J]. J Chin Med Assoc, 2012, 75: 483-486. doi:  10.1016/j.jcma.2012.06.023
  • 加载中


    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Article Metrics

    Article views (309) PDF downloads(84) Cited by()
    Proportional views


    DownLoad:  Full-Size Img  PowerPoint