ABSTRACT
OBJECTIVE: To evaluate the effect of pars plana vitrectomy in the management of patients with pars planitis. METHODS: A retrospective analysis of the clinical course, post-operative complications and recurrent uveal inflammation following pars plana vitrectomy in patients with pars planitis. RESULTS: The study included 22 eyes of 19 patients. The mean follow-up was 55.7 (± 39.6) months (range 7 - 144 months). The surgical indications were, persistent vitreous opacities in 10 eyes, vitreous haemorrhage in 9 eyes, and epiretinal membrane in 3 eyes. There was an improvement in the clinical course of the uveitis in 19 of the 22 eyes (86.4%), allowing the suspension of the systemic treatment in 16 patients. An improvement of the visual acuity was observed in 20 eyes (90.9%). The most common post-operative complications were, lens opacities in 9 eyes (40.9%), and glaucoma in 4 eyes (18.2%). CONCLUSIONS: The results of this study suggest that pars plana vitrectomy has a beneficial effect on the course and visual function of patients with vitreo-retinal complications associated with pars planitis.
Subject(s)
Eye Diseases/surgery , Pars Planitis/complications , Vitrectomy/methods , Vitreoretinal Surgery/methods , Vitreous Body/surgery , Adolescent , Adult , Cataract/epidemiology , Child , Child, Preschool , Epiretinal Membrane/etiology , Epiretinal Membrane/surgery , Eye Diseases/etiology , Female , Follow-Up Studies , Humans , Male , Pars Planitis/surgery , Postoperative Complications/epidemiology , Retrospective Studies , Visual Acuity , Vitreous Hemorrhage/etiology , Vitreous Hemorrhage/surgery , Young AdultABSTRACT
ObjetivoEvaluar el efecto de la vitrectomía pars plana en pacientes diagnosticados de pars planitis.MétodosSe realizó un análisis retrospectivo del curso clínico, las complicaciones postoperatorias y recurrencia de la uveítis tras la realización de vitrectomía pars plana en pacientes con pars planitis.ResultadosSe incluyeron en el estudio 22 ojos de 19 pacientes con pars planitis. El tiempo medio de seguimiento postoperatorio fue de 55,7 meses (rango 7 144 meses). Las indicaciones quirúrgicas fueron opacidades vítreas persistentes en 10 ojos, hemorragia vítrea en 9 ojos, y membrana epirretiniana en 3 ojos. En 19 de los 22 ojos (86,4%) hubo una mejoría en el curso de la uveítis que permitió la suspensión del tratamiento sistémico en 16 pacientes. Veinte ojos (90,9%) mejoraron la agudeza visual postoperatoriamente. Las complicaciones postoperatorias más frecuentes fueron opacidad de cristalino en 9 ojos (40,9%) y glaucoma en 4 ojos (18,2%).ConclusionesLos resultados de este estudio sugieren que la vitrectomía vía pars plana tiene un efecto beneficioso en el curso y en la función visual de los pacientes con complicaciones vitreo-retinianas asociadas a pars planitis.
ObjectiveTo evaluate the effect of pars plana vitrectomy in the management of patients with pars planitis.MethodsA retrospective analysis of the clinical course, post-operative complications and recurrent uveal inflamation following pars plana vitrectomy in patients with pars planitis.ResultsThe study included 22 eyes of 19 patients. The mean follow-up was 55.7 (±39.6) months (range 7 144 months). The surgical indications were, persistent vitreous opacities in 10 eyes, vitreous haemorrhage in 9 eyes, and epiretinal membrane in 3 eyes. There was an improvement in the clinical course of the uveitis in 19 of the 22 eyes (86.4%), allowing the suspension of the systemic treatment in 16 patients. An improvement of the visual acuity was observed in 20 eyes (90.9%). The most common post-operative complications were, lens opacities in 9 eyes (40.9%), and glaucoma in 4 eyes (18.2%).ConclusionsThe results of this study suggest that pars plana vitrectomy has a beneficial effect on the course and visual function of patients with vitreo-retinal complications associated with pars planitis(AU)
Subject(s)
Humans , Male , Female , Child , Adolescent , Adult , Vitrectomy/adverse effects , Vitrectomy , Uveitis, Intermediate/complications , Uveitis, Intermediate/surgery , Vitreous Body/surgery , Vitreous Body/injuries , Visual Acuity , Retrospective Studies , Vitrectomy/methodsABSTRACT
This study investigated interrelations among conditions of household socioeconomic disadvantage, proximal environmental experiences, and adaptational outcomes in a sample of 398 middle grade, early adolescents from a predominantly poor, rural area. Findings indicated that levels of disadvantage were related to both socioemotional and academic adjustment, with those from relatively disadvantaged backgrounds faring most poorly. Specifically, youth from homes in which adults were employed in low-income, unskilled occupations were found to have lower levels of school performance and achievement compared to those from homes in which adults were employed in higher paying semi-skilled or skilled/professional occupations. Further, youth from families in which neither parent had graduated from high school exhibited significantly worse socioemotional and academic adjustment than did those whose parents had higher educational levels. Youth who lived in relatively disadvantaged homes also reported more negative experiences of proximal environmental conditions relating to family and school contexts and greater exposure to stressful life events. Most notably, findings provided support for employing an ecological-mediational perspective to understand patterns of linkage between socioeconomic disadvantage and levels of adjustment. Support for this viewpoint included the finding that proximal environmental experiences were significant predictors of adolescent adjustment, independent of shared variance with conditions of household disadvantage, whereas conditions of disadvantage in several instances were no longer related significantly to indices of adjustment once their association with proximal environmental conditions was taken into account. The discussion considers implications for the targeting and scope of ecologically oriented approaches to preventive intervention.
Subject(s)
Achievement , Adolescent Behavior , Emotions , Environment , Psychology, Adolescent , Socioeconomic Factors , Adaptation, Psychological , Adolescent , Child , Educational Status , Employment , Family/psychology , Female , Humans , Male , Parents , Social SupportABSTRACT
This study employed a 2-year longitudinal design to examine the relation of stressful life events and social supports to psychological distress and school performance among 166 early adolescents (mean age = 13.5 years). A prospective approach was utilized to control for initial levels of adjustment when examining the relation of Time 1 stress and support variables to Time 2 psychological distress and school performance. Both stress and support variables made significant contributions to the prediction of subsequent psychological distress. Stresses, but not supports, made a significant contribution to the prediction of subsequent school performance. Evidence for reciprocal and interactive linkages was also found, including effects of psychological distress and school performance on subsequent stresses and supports, and greater adaptive impact of school-based supportive resources under conditions of heightened risk outside of school. Implications for ecological and transactional models of development relating to the targeting and efficacy of preventive efforts are discussed.
