[Therapeutic vitrectomy for severe uveitis and its complications].
OBJECTIVE
To investigate the therapeutic value of vitrectomy for uveitis and its complications.


METHODS
Vitrectomy was performed on 14 patients (14 eyes) with uveitis. In these 14 eyes, there were 6 eyes with severe opacity of vitreous, 5 eyes with cataract, 5 eyes with retinal detachment, and 3 eyes with poor response to medication. Pars plana lenectomy, scleral cryopexy, buckling procedure, endolaser photocoagulation, gas-fluid exchange or silicone oil intraocular tamponade were added according to the different needs. The follow-up varied from 18 to 45 months.


RESULTS
Twelve of the 14 eyes obtained better visual acuity, and in the other two light perception remained; less drugs were used after operation in all cases, and the uveitis was controlled.


CONCLUSIONS
Vitrectomy is an effective method for severe uveitis and its complications both in the improvement or stabilization of visual acuity and in the reduction or cessation of systemic treatment.
Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangzhou 510060, China. leejiaching@163.net
Jiaqing
J
Li
Shibo
S
Tang
Lin
L
Lu
Shaochong
S
Zhang
Mei
M
Li
D000293:Adolescent; D000328:Adult; D000368:Aged; D002386:Cataract / Q000150:complications / Q000628:therapy; D002648:Child; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D012163:Retinal Detachment / Q000150:complications / Q000601:surgery; D016896:Treatment Outcome; D014605:Uveitis / Q000150:complications / Q000601:surgery*; D014792:Visual Acuity; D014821:Vitrectomy / Q000009:adverse effects*