gms | German Medical Science

102. Jahrestagung der DOG

Deutsche Ophthalmologische Gesellschaft e. V.

23. bis 26.09.2004, Berlin

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Pars-plana vitrectomy in uveitis

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  • corresponding author L. Krause - Department of Ophthalmology, Charité - Campus Benjamin Franklin, Berlin
  • T. Sickermann - Department of Ophthalmology, Charité - Campus Benjamin Franklin, Berlin
  • N. E. Bechrakis - Department of Ophthalmology, Charité - Campus Benjamin Franklin, Berlin
  • C. Jandeck - Department of Ophthalmology, Charité - Campus Benjamin Franklin, Berlin
  • H. Foerster M. H. Heimann - Department of Ophthalmology, Charité - Campus Benjamin Franklin, Berlin

Evidenzbasierte Medizin - Anspruch und Wirklichkeit. 102. Jahrestagung der Deutschen Ophthalmologischen Gesellschaft. Berlin, 23.-26.09.2004. Düsseldorf, Köln: German Medical Science; 2004. Doc04dogSO.05.04

The electronic version of this article is the complete one and can be found online at: http://www.egms.de/en/meetings/dog2004/04dog455.shtml

Published: September 22, 2004

© 2004 Krause et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.en). You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.

Outline

Text

Objective

Intra-ocular inflammation often leads to secondary retinal or vitreous body changes such as tractional retinal detachment, epi-retinal membranes, vitreous bleeding or chronic macular oedema. Pars-plana vitrectomy offers the possibility of surgical adjustment.

Methods

In this retrospective study we examined patients who were operated on between 1991-2003, and who suffered secondary retinal vitreous changes because of intra-ocular inflammation. Pars-plana vitrectomy (PPV) was carried out on 85 eyes from 63 patients. The average age of the patient was 47.5 (range 7-82 years), with the majority being female (62%). The average follow-up period was 37 months (range 6-129 months). Indications of vitrectomy were: tractional retinal detachment (26%); vitreous body clouding or bleeding (61%); epi-retinal membrane (18%) or macular oedema (8%). In 27% SF6 gas was used for the endotamponade and in 9.4% silicone. In 8% of cases a simultaneous cataract operation was also carried out.

Results

Sixty-one percent of eyes displayed no intra-operative complications; 14% suffered retinal bleeding and 17% required treatment for retinal holes. Post-operative evidence showed retinal detachment in seven cases (8%) as the most common complication. In 43% of eyes, post-operative visual acuity improved (≥2 lines), 44% experienced stable visual acuity, but unfortunately in 13% of eyes, visual acuity deteriorated because un-operated cataracts existed. In four cases, recurrence of uveitis led to further deterioration in visual acuity.

Conclusions

PPV can significantly improve the visual acuity of patients with secondary changes resulting from intra-ocular inflammation and can also stabilise visual acuity.