Pars plana vitrectomy for epiretinal membrane associated with sarcoidosis.
OBJECTIVE
To examine retrospectively the visual outcomes in patients undergoing vitrectomy for epiretinal membranes secondary to sarcoid uveitis.


METHODS
Eleven consecutive patients (11 eyes) with epiretinal membrane and uveitis associated with sarcoidosis underwent pars plana vitrectomy.


RESULTS
Nine eyes (82%) gained two or more lines of Snellen visual acuity at 1-12 months after surgery. However, 4 of these 9 eyes lost two or more lines of Snellen visual acuity by the final visit. Overall, 5 eyes (45%) had attained at least two Snellen lines of visual acuity improvement, 5 eyes (45%) were unchanged, and 1 eye (10%) had worsened by two lines at the final visit. Nine eyes (81%) achieved visual acuity of 20/40 or better by the final visit. Slit-lamp biomicroscopy and fluorescein angiography showed that cystoid macular edema had resolved in 4 of 7 eyes postoperatively; vitritis improved in all cases. Postoperative complications included cataract formation, glaucoma, and membrane recurrence. Subsequent surgeries consisted of cataract extraction in 2 eyes and membrane peeling in 1 eye.


CONCLUSIONS
Pars plana vitrectomy appears to have a beneficial effect on restoring vision in eyes with epiretinal membrane and uveitis associated with sarcoidosis, but final visual acuity was limited by the development of cataract and membrane recurrence.
Kiryu
Junichi
J
Department of Ophthalmology and Visual Sciences, Kyoto University Graduate School of Medicine, Kyoto, Japan.
Kita
Mihori
M
Tanabe
Teruyo
T
Yamashiro
Kenji
K
Ieki
Yoshiaki
Y
Miura
Shinji
S
Miyahara
Shinsuke
S
Tamura
Hiroshi
H
Honda
Yoshihito
Y
D000368:Aged; D019773:Epiretinal Membrane / Q000209:etiology* / Q000503:physiopathology / Q000601:surgery*; D005260:Female; D006801:Humans; D008269:Macular Edema / Q000209:etiology / Q000503:physiopathology; D008297:Male; D008875:Middle Aged; D011184:Postoperative Period; D012507:Sarcoidosis / Q000150:complications*; D014605:Uveitis / Q000150:complications* / Q000209:etiology*; D014792:Visual Acuity; D014821:Vitrectomy