Twenty-five gauge vitrectomy in uveitis

Arquivos Brasileiros de Oftalmologia

Roger Roberto Wada Kamei¹  Tiago Eugênio Faria E Arantes¹  Claudio Renato Garcia¹  Cristina Muccioli² 

[1],Universidade Federal de São PauloSão Paulo SP ,Brazil

关键词: Vitrectomy;    Uveitis;    Vitreous body;    Eye infections;    Vitrectomia;    Uveítes;    Corpo vítreo;    Infecções oculares;   

DOI  :  10.1590/S0004-27492012000200007

来源: SciELO

【 摘 要 】

PURPOSE: To evaluate anatomical and functional results of 25-gauge transconjunctival sutureless pars plana vitrectomy in patients with uveitis. METHODS: Vitrectomy was performed on 20 eyes with residual vitritis secondary to infectious and noninfectious uveitis. Patients were evaluated 1 week before surgery and after surgery at day 1, week 1, week 4 and week 12. Visual acuity (VA), intraocular pressure, anterior chamber cells and flare and vitreous haze were measured. RESULTS: Mean VA improved from 2.06 ± 0.94 logMAR before surgery to 0.58 ± 0.46 logMAR at week 12 (p<0.05). No case required conversion to standard 20-gauge instrumentation or suture placement, no intraoperative complications were noted. Transient postoperative hypotony was seen in three eyes. One patient with toxoplasmic retinochoroiditis had a relapse during follow-up. CONCLUSION: 25-gauge vitrectomy has proven its efficacy on cleansing vitreous opacities and improving visual acuity on patients with residual vitritis secondary to uveitis with minimal postoperative inflammation and complications.

【 授权许可】

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