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Panuveitis of undetermined origin after diagnostic pars plana vitrectomy: clinical characterization and long-term outcome from a tertiary referral center

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Abstract

Purpose

To identify the characteristics and outcome of panuveitis of undetermined origin (PUO) after diagnostic vitrectomy.

Methods

Retrospective analysis of all patients who underwent vitrectomy for diagnostic/therapeutic purposes from 2013 to 2020, whose vitreous biopsies turned out negative and final diagnoses were not clinically supported.

Results

Of 122 operated eyes, 36 eyes (29.5%) were defined as PUO (67.8 ± 14.9 years). The presenting clinical picture revealed a predominantly bilateral condition (70% of eyes) with significant posterior segment involvement: 3.1 ± 0.6 vitritis, 61.1% of eyes with retinal vasculitis, 44.4% with macular edema, and 30.6% with exudative retinal detachment. Presenting visual acuity was 1.2 ± 0.7 logMAR, and up to 90% remained stable or improved vision over a ~ 3.5 year observation period. None of the presenting clinical features turned out to be predictive of final visual outcome or survival.

Conclusions

PUO is present in up to 30% of cases after diagnostic/therapeutic vitrectomy. This mainly bilateral condition shows chronic and overall stable long-term outcome, generally with retained steady visual function.

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Data and material availability

The datasets used and/or analyzed during the current study are available from the corresponding author upon reasonable request.

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Acknowledgements

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Funding

No funding was received for this research.

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Authors and Affiliations

  1. Department of Ophthalmology, San Raffaele Scientific Institute, Vita-Salute University, Via Olgettina, 60, 20132, Milan, Italy

    Lorenzo Iuliano, Mirko Kacerik, Eleonora Corbelli, Elisabetta Miserocchi, Giulio Modorati, Francesco Bandello & Marco Codenotti

Authors
  1. Lorenzo Iuliano
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  2. Mirko Kacerik
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  3. Eleonora Corbelli
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  4. Elisabetta Miserocchi
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  5. Giulio Modorati
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  6. Francesco Bandello
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  7. Marco Codenotti
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Contributions

LI: research design, data acquisition and analysis, interpretation of data, drafting and critical revision of the manuscript, final approval of the version to be published. MK, EC, EM, GM: data acquisition and analysis, critical revision of the manuscript and final approval of the version to be published. FB, MC: interpretation of data, critical revision of the manuscript and final approval of the version to be published.

Corresponding author

Correspondence to Lorenzo Iuliano.

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Conflict of interest

Lorenzo Iuliano, Mirko Kacerik, Eleonora Corbelli, Elisabetta Miserocchi, Giulio Modorati, Marco Codenotti have not disclosed any competing interests. Francesco Bandello is a consultant for: Alcon (Fort Worth,Texas, USA), Alimera Sciences (Alpharetta, Georgia, USA), Allergan Inc (Irvine, California, USA), Farmila-Thea (Clermont-Ferrand, France), Bayer Shering-Pharma (Berlin, Germany), Bausch And Lomb (Rochester, New York, USA), Genentech (San Francisco, California, USA), Hoffmann-La-Roche (Basel, Switzerland), Novagali Pharma (Évry, France), Novartis (Basel, Switzerland), Sanofi-Aventis (Paris, France), Thrombogenics (Heverlee,Belgium), Zeiss (Dublin, USA).

Ethics approval

All procedures performed involving human participants were in accordance with the ethical standards of the Institutional Review Board of the San Raffaele Scientific Institute and with the 1964 Helsinki Declaration and its later amendments. All patients signed a general informed consent form, which was specifically designed and approved by the Institutional Review Board of the San Raffaele Scientific Institute solely for participants of observational retrospective studies.

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The authors concur on submission and eventual publication.

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Iuliano, L., Kacerik, M., Corbelli, E. et al. Panuveitis of undetermined origin after diagnostic pars plana vitrectomy: clinical characterization and long-term outcome from a tertiary referral center. Int Ophthalmol 43, 2841–2849 (2023). https://doi.org/10.1007/s10792-023-02683-5

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  • DOI: https://doi.org/10.1007/s10792-023-02683-5

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