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Vitrectomy for persistent panuveitis in Behcet's disease

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Authors
Ahn, Jae Kyoun; Chung, Hum; Yu, Hyeong Gon
Issue Date
2005-12-03
Publisher
Taylor & Francis
Citation
Ocul Immunol Inflamm. 2005 Dec;13(6):447-53.
Keywords
AdultBehcet Syndrome/physiopathology/*surgeryFemaleFollow-Up StudiesHumansMaleMiddle AgedPanuveitis/physiopathology/*surgeryRetrospective StudiesTreatment OutcomeVisual Acuity*Vitrectomy
Abstract
PURPOSE: To determine whether vitrectomy is safe and effective for the management of vitreoretinal complications in Behcet's patients with persistent panuveitis. METHODS: Patients who had undergone therapeutic vitrectomy for Behcet's panuveitis were reviewed retrospectively. Those patients who had shown persistent uveitis despite maximum medical therapy were included. Surgical outcomes were measured by an improvement in vision of 0.3 logarithm of minimum angle of resolution, acute relapse rates, and postoperative complications. RESULTS: Twenty-one patients with a mean postoperative follow-up of 30 months were identified. For almost all patients visual acuity and inflammatory control were significantly improved after vitrectomy. However, patients with optic disc neovascularization (NVD) showed no improvement in their vision or inflammatory control. The postoperative rise of intraocular pressure was frequently associated with intravitreal triamcinolone acetonide injections. CONCLUSIONS: Our study suggests that vitrectomy may be both safe and effective for the management of vitreoretinal complications in Behcet's patients with persistent uveitis. Patients with NVD, however, may have poor outcomes.
ISSN
0927-3948 (Print)
Language
English
URI
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=16321889

http://hdl.handle.net/10371/16149
DOI
https://doi.org/10.1080/09273940591004232
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College of Medicine/School of Medicine (의과대학/대학원)Ophthalmology (안과학전공)Journal Papers (저널논문_안과학전공)
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