[Involvement of the posterior eye segment in HLA B27(+) iridocyclitis. Incidence. Value of surgical treatment].
46 patients with the association of acute anterior uveitis and the presence of HLA B27 antigen were studied. Ankylosing spondylitis was found in 19 patients (41.3%). Ophthalmoscopy showed a diffuse vitreous haze in 63%, a macular disease in 21.7%, a papillitis in 17.4%. We performed pars plana vitrectomy on 8 patients (10 eyes) with severe posterior uveitis and/or cystoid macular edema. The postoperative follow-up period averaged 14 months with visual acuity improvement in 5 eyes. The surgical indications are described.
Bayen
H
H
Service d'ophtalmologie, Hôpital Lariboisière, Paris.
Bayen
M C
MC
De Curzon
H P
HP
Espinasse-Berrod
M A
MA
Manderieux
N
N
Furia
M
M
Campinchi
R
R
D000208:Acute Disease; D000293:Adolescent; D000328:Adult; D005128:Eye Diseases / Q000209:etiology; D005260:Female; D015235:HLA-B Antigens / Q000276:immunology; D015796:HLA-B27 Antigen; D006801:Humans; D008297:Male; D008875:Middle Aged; D013167:Spondylitis, Ankylosing / Q000150:complications; D014606:Uveitis, Anterior / Q000150:complications* / Q000276:immunology; D014821:Vitrectomy; D014822:Vitreous Body
D015235:HLA-B Antigens; D015796:HLA-B27 Antigen
Atteintes du segment postérieur de l'oeil dans les iridocyclites HLA B27 (+). Fréquence. Intérêt du traitement chirurgical.