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Combined Posterior Chamber Intraocular Lens, Vitrectomy, Retisert, and Pars Plana Tube in Noninfectious Uveitis
- Source :
- Archives of Ophthalmology. 130:908
- Publication Year :
- 2012
- Publisher :
- American Medical Association (AMA), 2012.
-
Abstract
- Objective To assess the safety and efficacy of combined cataract extraction, posterior chamber intraocular lens placement, pars plana vitrectomy, fluocinolone acetonide intravitreal implant (Retisert), and Ahmed valves with pars plana tube (CPR-PT) in eyes with chronic, posterior, noninfectious uveitis. Methods Retrospective study of patients who underwent CPR-PT. Outcome measures included visual acuity, intraocular pressure, inflammation, and complications. Results Eight eyes were included, with a mean follow-up of 18 months. Mean visual acuity improved from 1.89 to 0.14 logMAR (Snellen, counting fingers at 2 ft [0.6 m]) to 20/30; P = .01). Mean intraocular pressure remained stable at 16 to 17 mm Hg (P = .35). The number of glaucoma medications per eye decreased from 2.9 to 0.25 (P = .01). Systemic prednisone therapy was discontinued in all patients by 9 months postoperatively. Inflammation was well controlled in all eyes. Conclusion The CPR-PT procedure allows rapid visual rehabilitation without major short-term complications.
- Subjects :
- Male
Intraocular pressure
Visual acuity
genetic structures
medicine.medical_treatment
Visual Acuity
Glaucoma
Vitrectomy
Postoperative Complications
Lens Implantation, Intraocular
Glaucoma Drainage Implants
Drug Implants
Posterior Eye Segment
Middle Aged
Treatment Outcome
medicine.anatomical_structure
Fluocinolone Acetonide
Sclerostomy
Female
medicine.symptom
Uveitis
medicine.drug
Adult
Pars plana
medicine.medical_specialty
Cataract Extraction
Cataract
Fluocinolone acetonide
Ophthalmology
medicine
Humans
Antihypertensive Agents
Intraocular Pressure
Retrospective Studies
business.industry
Suture Techniques
Uveitis, Posterior
Cataract surgery
medicine.disease
eye diseases
Surgery
Vitreous Body
Chronic Disease
sense organs
business
Anesthesia, Local
Follow-Up Studies
Subjects
Details
- ISSN :
- 00039950
- Volume :
- 130
- Database :
- OpenAIRE
- Journal :
- Archives of Ophthalmology
- Accession number :
- edsair.doi.dedup.....4fea7e381c0d6b8e23988f0b206d8044