title: Combined posterior chamber intraocular lens, vitrectomy, Retisert, and pars plana tube in noninfectious uveitis.
abstract: OBJECTIVE
  To assess the safety and efficacy of combined cataract extraction, posterior chamber intraocular lens placement, pars plana vitrectomy, fluocinolone acetonide intravitreal implant (Retisert), and Ahmed valves with pars plana tube (CPR-PT) in eyes with chronic, posterior, noninfectious uveitis.
  
  
  METHODS
  Retrospective study of patients who underwent CPR-PT. Outcome measures included visual acuity, intraocular pressure, inflammation, and complications.
  
  
  RESULTS
  Eight eyes were included, with a mean follow-up of 18 months. Mean visual acuity improved from 1.89 to 0.14 logMAR (Snellen, counting fingers at 2 ft [0.6 m]) to 20/30; P=.01). Mean intraocular pressure remained stable at 16 to 17 mm Hg (P=.35). The number of glaucoma medications per eye decreased from 2.9 to 0.25 (P=.01). Systemic prednisone therapy was discontinued in all patients by 9 months postoperatively. Inflammation was well controlled in all eyes.
  
  
  CONCLUSIONS
  The CPR-PT procedure allows rapid visual rehabilitation without major short-term complications.
authors: Kresge Eye Institute, Division of Vitreoretinal Surgery, Department of Ophthalmology, Wayne State University, Detroit, Michigan, USA.
authors: Zaaira M
authors: ZM
authors: Ahmad
authors: Bret A
authors: BA
authors: Hughes
authors: Gary W
authors: GW
authors: Abrams
authors: Tamer H
authors: TH
authors: Mahmoud
mesh_terms: D000328:Adult; D000772:Anesthesia, Local; D000959:Antihypertensive Agents / Q000008:administration & dosage; D002386:Cataract / Q000150:complications / Q000628:therapy; D002387:Cataract Extraction; D002908:Chronic Disease; D004343:Drug Implants; D005260:Female; D005446:Fluocinolone Acetonide / Q000008:administration & dosage*; D005500:Follow-Up Studies; D005901:Glaucoma / Q000150:complications / Q000601:surgery; D020327:Glaucoma Drainage Implants; D006801:Humans; D007429:Intraocular Pressure / Q000502:physiology; D019654:Lens Implantation, Intraocular; D008297:Male; D008875:Middle Aged; D057972:Posterior Eye Segment; D011183:Postoperative Complications; D012189:Retrospective Studies; D012599:Sclerostomy; D013536:Suture Techniques; D016896:Treatment Outcome; D015866:Uveitis, Posterior / Q000150:complications* / Q000188:drug therapy; D014792:Visual Acuity / Q000502:physiology; D014821:Vitrectomy; D014822:Vitreous Body / Q000187:drug effects
chemical_list: D000959:Antihypertensive Agents; D004343:Drug Implants; D005446:Fluocinolone Acetonide