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Vitrectomy surgery for the treatment of the vitreo-retinal complications of the pars planitis
Authors:Molina-Prat N  Adán A M  Mesquida M  Pelegrini L  Rey A  Alvarez G
Institution:1. Associated Retinal Consultants, P.C., Royal Oak, Michigan;2. Department of Ophthalmology, William Beaumont Hospital, Royal Oak, Michigan;1. Department of Biomedical Engineering, Stony Brook University, USA;2. Institute for Aging Research, Hebrew SeniorLife, Harvard Medical School, USA;1. Servicio de Oftalmología, Complejo Hospitalario de Navarra, Pamplona, Navarra, España;2. Servicio de Medicina Interna, Complejo Hospitalario de Navarra, Pamplona, Navarra, España
Abstract: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.
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