Abstract
• Background: Pars plana vitrectomy has both diagnostic and therapeutic potential in chronic uveitis. In this paper the therapeutic value of vitrectomy is investigated. • Methods: This is a retrospective study on 25 eyes that underwent pars plana vitrectomy with therapeutic intent. Surgery was considered in patients with severe vitreous clouding or macular pucker and in those who responded poorly or not at all to conventional treatment for uveitis. The mean period of follow up was 4.5 years, varying from 2 to 12 years.
• Results: Improved vision was observed in 56% of the eyes (14/25). Twenty-four percent of the eyes (6/ 25) had stable vision. Macular edema disappeared in 40% (10/25) of cases and persisted in 60% (15/25). Two of the nine eyes with persistent macular oedema progressed to a macular hole. Four of the six eyes with macular pucker suffered recurrence, one ended in phythisis, while the pucker was cured in only one patient. Twelve percent of the eyes (3/25) subsequently experienced a recrudescence of uveitis, making systemic treatment necessary. One patient presented, after vitrectomy, a traction retinal detachment with proliferating vitreoretinopathy. No complications or recurrences were seen in 44% of the eyes (11/25).
• Conclusion: Vitrectomy has a definite place in the treatment of chronic uveitis, both on the functional level, with improvement or stabilisation of visual acuity and on the therapeutic level, with possible reduction or cessation of systemic treatment.
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References
Berg P, Kroll P, Busse H (1990) Operative Therapie bei Uveitis. Klin Monatsbl Augenheilkd 197:373–377
Brinkman C, Otto A (1992) Role of the vitreous in experimental uveitis. Dev Ophthalmol 23:226–231
Davis J, Chan C, Nussenblatt R (1992) Diagnostic vitrectomy in intermediate uveitis. Dev Ophthalmol 23:130–132
Eckardt C, Bacskulin A (1992) Vitrectomy in intermediate uveitis. Dev Ophthalmol 23:232–238
Heimann K, Tavakolian K, Paulmann H, Morris R (1981) Pars plana-Vitrektomie zur Behandlung der chronischen Uveitis. Ber Dtsch Ophthalmol Ges 78:249–251
Heimann K, Schmanke L, Brunner R, Amerian N (1992) Pars plana vitrectomy in the treatment of chronic uveitis. Dev Ophthalmol 23: 196–203
Kaplan HJ (1992) Surgical treatment of intermediate uveitis. Dev Ophthalmol 23:185–189
Klöti R (1988) Pars plana-Vitrektomie bei chronischer Uveitis. Klin Monatsbl Augenheilkd 192:425–429
Libert J (1989) La vitrectomie dans les uvéites. Bull Soc Belg Ophtalmol 230:143–153
Limon S, Renard J, Waligora G, Mourane M (1989) Intérêt de la vitrectomie dans les uveites intermédiaires et la maladie de Behçet avec hyalite. Ophthalmologie 3: 206–208
Mieler W, Will B, Lewis H, Aaberg T (1988) Vitectomy in the management of peripheral uveitis. Ophthalmology 95:859–864
Nobe J, Kokoris N, Diddie K, Cherney E, Smith R (1983) Lensectomy-vitrectomy in chronic uveitis. Retina 3:71–76
Nolle B, Eckardt C (1993) Vitrectomy in multifocal chrioretinitis. German J Ophthalmol 2:14–19
Priem H, Verbraeken H, De Lacy JJ (1993) Diagnostic problems in chronic vitreous inflammation. Graefe's Arch Clin Exp Ophthalmol 231:453–456
Ulbig M, Kampik A (1989) Pars plana-Vitrektomie bei chronischer Uveitis des Kindes. Klin Monatsbl Augenheilkd 194:10–12
Verbraeken H (1993) Intracapsular and extracapsular pseudophakic endophthalmitis: a comparison. Doc Ophthalmol 84:387–393
Verbraeken H (1994) Endophthalmitis after lens extraction. Doc Ophthalmol 87:153–158
Verbraeken H, Rysselaere M (1994) Posttraumatic endophthalmitis. Eur J Ophthalmol 4:1–5
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Verbraeken, H. Therapeutic pars plana vitrectomy for chronic uveitis: a retrospective study of the long-term results. Graefe's Arch Clin Exp Ophthalmol 234, 288–293 (1996). https://doi.org/10.1007/BF00220702
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DOI: https://doi.org/10.1007/BF00220702