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)
