Par-plana vitrectomy in the management of uveitis complicated with retinal detachment

Abstract:

Objective：To investigate the therapeutic value of vitrectomy for uveitis complicated with retinal detachment. Methods：Stan－dard three-incision vitrectomy was performed on 22 patients（22 eyes） with uveitis complicated with retinal detachment，whose age ranging from 5 to 64 years old. In these 22 eyes，C3F8 or silicone oil intraocular tamponade was injected according to the different needs，and triamcinoloneacetonidel（TA） was injected before the finishing of surgery to reduce the degree of postperative inflamation. All patients were treated with systemic immunoppressive therapy after surgery and the uveitis was controlled. Results：Twenty-two eyes were followed up for three months to five years. Retinas of all cases didn’t detached. Twenty-one eyes obtained better visual acuity and one eye was unchanged but without recurrent retinal detachment and obvious hyperplasia. Conclusion：Par-plana vitrectomy as－sisted by TA is an effective method for uveitis. Injection of TA after silicone oil intraocular tamponade can make TA release slowly，equivalent to slow release of hormone，which can prevent recurrent occurrences of uveitis as well as occurrence and development of hyperplasia vitreous retinopathy.