Clinical Results of Pars Plana Vitrectomy on Posterior Segment Complications in Posterior Uveitis.

Nam, Dong Heun; Shin, Hyoung Ho; Huh, Kuhl

Original Article

Journal of the Korean Ophthalmological Society 2004;45(8):1291-1297.
Published online August 1, 2004.

Clinical Results of Pars Plana Vitrectomy on Posterior Segment Complications in Posterior Uveitis.

¹Department of Ophthalmology, Gachon Medical School, Incheon, Korea.
²Department of Ophthalmology, Korea University College of Medicine, Seoul, Korea. dumky@unitel.co.kr

후부 포도막염의 후안부 합병증에 대한 유리체절제술의 임상성적

남동흔 ( Dong Heun Nam ) , 신형호 ( Hyoung Ho Shin ) , 허걸 ( Kuhl Huh )

Abstract

PURPOSE
This study was undertaken to evaluate the clinical results of pars plana vitrectomy on posterior segment complications in posterior uveitis. METHODS: We reviewed the records of 20 eyes of 19 uveitis patients who were followed up for 6 months or more after vitrectomy. RESULTS: The mean follow-up period was 20 months. Final visual acuity improved in 10 eyes (50%), was maintained in 6 (30%), and decreased in 4 (20%). The mean improvement of vision was 1.6 lines (p=0.019). Detached retina was reattached in 8 (80%) among the 10 eyes with primary surgery. Postoperative complications were cataract (7 eyes), macular degeneration (2 eyes), retinal detachment (2 eyes), and recurrence (1 eye). CONCLUSIONS: These results suggest that pars plana vitrectomy may be a safe and effective treatment for posterior segment complications in posterior uveitis, but that early and complete vitrectomy should be considered for a better visual prognosis.

Key Words: Posterior uveitis;Retinal detachment;Vitrectomy