Pars plana vitrectomy in ocular Behçet's disease
- 24 Downloads
Purpose: To evaluate the results of pars plana vitrectomy in Behçet patients with dense vitreous opacities, and its effect on intraocular inflammatory episodes and visual prognosis. Methods: The study group consisted of nine patients (one eye in eight patients, both eyes in one) with Behçet's disease who underwent pars plana vitrectomy because of dense vitreous opacification. The indications for vitrectomy, the effect of vitrectomy on the frequency of severe intraocular inflammatory episodes, and visual prognosis were investigated in these patients. All the patients were male, and their ages ranged between 28–45 years. Combined lensectomy was performed on those with complicated cataracts. The postoperative follow-up was between 12–66 months. Results: In all of the patients preoperative visual acuity was hand motions. Postoperatively there was no change in vision in five eyes, however visual acuity improvedin five eyes, between counting fingers and 0.4. None of the patients showed any severepostoperative intraocular inflammatory episodes, and phthisis did not develop in any ofthe patients. Conclusion: In this study, pars plana vitrectomy was found to have a beneficial effect on the prognosis of vision. There was also a decrease in the frequency of severe intraocular inflammatory episodes in patients with Behçet's disease with severe vitreous opacities, who did not respond to maximum medical treatment. However, further studies on larger groups should be performed in order to confirm the findings of this study.
Unable to display preview. Download preview PDF.
- 1.Tabbara KF, Chavis PS. Cataract extraction in Behçet's disease. Ocular Imm Inflam 1997; 5(1): 27–32.Google Scholar
- 2.Limon S, Renard J, Waligora G, Mokrane M. Value of vitrectomy in intermediate uveitis and Behçet's disease with hyalitis. A study of 400 cases. Ophthalmologia 1989; 3(3): 206–208.Google Scholar
- 3.Ozdemir O, Erkam N, Bakkaloglu A. Result of pars plana vitrectomy in Behcet's disease. Ann Ophthalmol 1988; 20(1): 35–38.Google Scholar
- 4.Criteria for diagnosis of Behçet's Disease. International Study group for Behçet's Disease. Lancet 1990; 335(8697): 1078–1080.Google Scholar
- 5.Diamond JG, Kaplan HJ. Lensectomy and vitrectomy for complicated cataract secondary to uveitis. Arch Ophthalmol 1978; 96: 1798–1804.Google Scholar
- 6.Mieler WF, Will BR, Lewis H, Aaberg TM. Vitrectomy in the management of peripheral uveitis. Ophthalmology 1988; 95: 859–864.Google Scholar
- 7.Diamond JG, Kaplan HJ. Uveitis: effect of vitrectomy combined with lensectomy. Ophthalmology 1979; 86(7): 1320–1329.Google Scholar
- 8.Belmont JB, Michelson JB. Vitrectomy in uveitis associated with ankylosing spondylitis. Am J Ophthalmol 1982; 94: 300–304.Google Scholar
- 9.Talley AR, D'Amico DJ, Talamo JH, Casey VN, Kenyon KR. The role of vitrectomy in the treatment of postoperative bacterial endophthalmitis. An experimental study Arch Ophthalmol 1987; 105(12): 1699–1702.Google Scholar