Preoperative Inflammatory Control and Surgical Outcome of Vitrectomy in Intermediate Uveitis

Purpose. To demonstrate the long-term effectiveness of vitrectomy for intermediate uveitis (IU) and to determine whether complete control of inflammation before vitrectomy is necessary. Methods. This retrospective study included 66 eyes of 66 patients with IU who underwent vitrectomy for vitreoretin...

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Main Authors: Yong Un Shin, Joo Young Shin, Dae Joong Ma, Heeyoon Cho, Hyeong Gon Yu
Format: Article
Language:English
Published: Wiley 2017-01-01
Series:Journal of Ophthalmology
Online Access:http://dx.doi.org/10.1155/2017/5946240
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author Yong Un Shin
Joo Young Shin
Dae Joong Ma
Heeyoon Cho
Hyeong Gon Yu
author_facet Yong Un Shin
Joo Young Shin
Dae Joong Ma
Heeyoon Cho
Hyeong Gon Yu
author_sort Yong Un Shin
collection DOAJ
description Purpose. To demonstrate the long-term effectiveness of vitrectomy for intermediate uveitis (IU) and to determine whether complete control of inflammation before vitrectomy is necessary. Methods. This retrospective study included 66 eyes of 66 patients with IU who underwent vitrectomy for vitreoretinal complications. Eyes were followed for at least 12 months after vitrectomy. The degree of inflammation control and visual acuity were compared before and after vitrectomy. These parameters were compared according to the presence of complete inflammation control before surgery. Results. The indications of vitrectomy included epiretinal membrane (26 eyes), vitreous opacity (21 eyes), and tractional retinal detachment (12 eyes), among others. Uveitic attacks did not occur in 44 of the 66 patients after vitrectomy. The numbers of uveitis attacks, local steroid injections, and systemic medications significantly decreased, and vision meaningfully improved after vitrectomy. These parameters did not differ significantly, regardless of the presence of preoperative inflammation. Conclusions. This study showed that vitrectomy is a good modality to manage vitreoretinal complications associated with IU, even if complete control of intraocular inflammation is not achieved before vitrectomy.
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spelling doaj-art-7be530c07e4049da9008060f530f8f4f2025-02-03T01:22:20ZengWileyJournal of Ophthalmology2090-004X2090-00582017-01-01201710.1155/2017/59462405946240Preoperative Inflammatory Control and Surgical Outcome of Vitrectomy in Intermediate UveitisYong Un Shin0Joo Young Shin1Dae Joong Ma2Heeyoon Cho3Hyeong Gon Yu4Department of Ophthalmology, Hanyang University College of Medicine, Seoul, Republic of KoreaDepartment of Ophthalmology, Seoul National University Hospital Healthcare System Gangnam Center, Seoul, Republic of KoreaDepartment of Ophthalmology, Seoul National University College of Medicine, Seoul, Republic of KoreaDepartment of Ophthalmology, Hanyang University College of Medicine, Seoul, Republic of KoreaDepartment of Ophthalmology, Seoul National University College of Medicine, Seoul, Republic of KoreaPurpose. To demonstrate the long-term effectiveness of vitrectomy for intermediate uveitis (IU) and to determine whether complete control of inflammation before vitrectomy is necessary. Methods. This retrospective study included 66 eyes of 66 patients with IU who underwent vitrectomy for vitreoretinal complications. Eyes were followed for at least 12 months after vitrectomy. The degree of inflammation control and visual acuity were compared before and after vitrectomy. These parameters were compared according to the presence of complete inflammation control before surgery. Results. The indications of vitrectomy included epiretinal membrane (26 eyes), vitreous opacity (21 eyes), and tractional retinal detachment (12 eyes), among others. Uveitic attacks did not occur in 44 of the 66 patients after vitrectomy. The numbers of uveitis attacks, local steroid injections, and systemic medications significantly decreased, and vision meaningfully improved after vitrectomy. These parameters did not differ significantly, regardless of the presence of preoperative inflammation. Conclusions. This study showed that vitrectomy is a good modality to manage vitreoretinal complications associated with IU, even if complete control of intraocular inflammation is not achieved before vitrectomy.http://dx.doi.org/10.1155/2017/5946240
spellingShingle Yong Un Shin
Joo Young Shin
Dae Joong Ma
Heeyoon Cho
Hyeong Gon Yu
Preoperative Inflammatory Control and Surgical Outcome of Vitrectomy in Intermediate Uveitis
Journal of Ophthalmology
title Preoperative Inflammatory Control and Surgical Outcome of Vitrectomy in Intermediate Uveitis
title_full Preoperative Inflammatory Control and Surgical Outcome of Vitrectomy in Intermediate Uveitis
title_fullStr Preoperative Inflammatory Control and Surgical Outcome of Vitrectomy in Intermediate Uveitis
title_full_unstemmed Preoperative Inflammatory Control and Surgical Outcome of Vitrectomy in Intermediate Uveitis
title_short Preoperative Inflammatory Control and Surgical Outcome of Vitrectomy in Intermediate Uveitis
title_sort preoperative inflammatory control and surgical outcome of vitrectomy in intermediate uveitis
url http://dx.doi.org/10.1155/2017/5946240
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