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El Faouri M, Ally N, Lippera M, Subramani S, Moussa G, Ivanova T, Patton N, Dhawahir-Scala F, Rocha-de-Lossada C, Ferrara M, Jalil A. Long-Term Safety and Efficacy of Pars Plana Vitrectomy for Uveitis: Experience of a Tertiary Referral Centre in the United Kingdom. J Clin Med 2023; 12:jcm12093252. [PMID: 37176692 PMCID: PMC10179292 DOI: 10.3390/jcm12093252] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/31/2023] [Revised: 04/19/2023] [Accepted: 04/26/2023] [Indexed: 05/15/2023] Open
Abstract
AIM To evaluate the effectiveness of pars plana vitrectomy (PPV) without macular intervention on uveitis eyes with persistent vitreous inflammation/opacities in terms of visual acuity (VA), intraocular inflammation and macular profile. METHODS We carried out a single-center retrospective study of patients with uveitic eyes that underwent PPV without intervention on the macula due to persistent vitreous inflammation/opacities. The primary outcome measures were best-corrected visual acuity (BCVA), intraocular inflammation and macular profile at 3, 12 and 24 months after surgery. RESULTS Twenty-seven eyes of twenty-six patients were analyzed. Overall, 77.8% had an improvement of VA (55% by 0.3 LogMAR or more); 62.5% of patients had no intraocular inflammation, and the number of patients on systemic steroids and second-line immunosuppressives was reduced by 26% at 12 months; 87.5% of patients had resolution of macular oedema at 12 months. CONCLUSION PPV for persistent vitreous inflammation/opacities is safe and effective, showing beneficial outcomes in terms of improvement of BCVA and the reduction in inflammation.
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Affiliation(s)
- Muhannd El Faouri
- Manchester Royal Eye Hospital, Oxford Road, Manchester M13 9WL, UK
- Faculty of Medicine, The Hashemite University, P.O. Box 330127, Zarqa 13133, Jordan
| | - Naseer Ally
- Manchester Royal Eye Hospital, Oxford Road, Manchester M13 9WL, UK
| | - Myrta Lippera
- Manchester Royal Eye Hospital, Oxford Road, Manchester M13 9WL, UK
| | | | - George Moussa
- Manchester Royal Eye Hospital, Oxford Road, Manchester M13 9WL, UK
| | - Tsveta Ivanova
- Manchester Royal Eye Hospital, Oxford Road, Manchester M13 9WL, UK
| | - Niall Patton
- Manchester Royal Eye Hospital, Oxford Road, Manchester M13 9WL, UK
| | | | - Carlos Rocha-de-Lossada
- Qvision, Opththalmology Department, VITHAS Almería Hospital, 04120 Almería, Spain
- Ophthalmology Department, VITHAS Málaga, 29016 Málaga, Spain
- Regional Universityu Hospital of Malaga, Plaza del Hospital Civil, 29010 Málaga, Spain
- Surgery Department, University of Sevilla, 41009 Seville, Spain
| | - Mariantonia Ferrara
- Manchester Royal Eye Hospital, Oxford Road, Manchester M13 9WL, UK
- School of Medicine, University of Málaga, 29016 Málaga, Spain
| | - Assad Jalil
- Manchester Royal Eye Hospital, Oxford Road, Manchester M13 9WL, UK
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Sato T, Kinoshita R, Taguchi M, Sugita S, Kaburaki T, Sakurai Y, Takeuchi M. Assessment of diagnostic and therapeutic vitrectomy for vitreous opacity associated with uveitis with various etiologies. Medicine (Baltimore) 2018; 97:e9491. [PMID: 29480837 PMCID: PMC5943856 DOI: 10.1097/md.0000000000009491] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
Abstract
Vitreous opacity (VO) is a common feature of intermediate uveitis, posterior uveitis, and panuveitis. Fundus observation is critical for determining the etiology of uveitis, however, is often interfered with VO. In these clinical settings, vitrectomy contributes to a correct diagnosis and guides alternative management strategies. The purpose of this study was to evaluate the diagnostic yield and surgical outcome of vitrectomy in uveitic patients with VO and compare the visual outcome between infectious and noninfectious uveitis. Forty-five eyes with uveitis-associated VO underwent diagnostic and therapeutic vitrectomy, and etiological diagnosis of uveitis was confirmed in 34 of 45 eyes (75.6%). The diagnoses were infectious uveitis in 13 eyes (28.9%), noninfectious uveitis in 21 eyes (46.7%), and unidentified uveitis in 11 eyes (24.4%). Visual acuity (VA) improvement rates at 6 months after surgery were 69.2%, 76.2%, and 90.9% in the infectious, noninfectious, and unidentified uveitis groups, with no significant difference among 3 groups. Significant decrease in inflammation score after vitrectomy was observed only in the infectious uveitis group. This study demonstrated that diagnostic vitrectomy for inflammatory eyes with VO of unknown etiology was effective in infectious and noninfectious uveitis, and the therapeutic effect of VA improvement was observed in both types of uveitis.
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Affiliation(s)
- Tomohito Sato
- Ophthalmology, National Defense Medical College, Tokorozawa, Saitama
| | - Rina Kinoshita
- Ophthalmology, National Defense Medical College, Tokorozawa, Saitama
| | - Manzo Taguchi
- Ophthalmology, National Defense Medical College, Tokorozawa, Saitama
| | - Sunao Sugita
- Laboratory for Retinal Regeneration, RIKEN Center for Developmental Biology, Kobe, Hyogo
| | | | - Yutaka Sakurai
- Ophthalmology, National Defense Medical College, Tokorozawa, Saitama
| | - Masaru Takeuchi
- Ophthalmology, National Defense Medical College, Tokorozawa, Saitama
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The importance of quantitative measurement methods for uveitis: laser flare photometry endorsed in Europe while neglected in Japan where the technology measuring quantitatively intraocular inflammation was developed. Int Ophthalmol 2016; 37:469-473. [DOI: 10.1007/s10792-016-0253-0] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/10/2016] [Accepted: 05/06/2016] [Indexed: 12/19/2022]
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