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Langner-Wegscheider, BJ; de Smet, MD.
Surgical management of severe complications arising from uveitis in juvenile idiopathic arthritis.
Ophthalmologica. 2014; 232(3):179-186
Web of Science PubMed FullText FullText_MUG

 

Autor/innen der Med Uni Graz:
Langner-Wegscheider Beate-Julia
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Abstract:
Evaluate outcomes from severe ocular complications of juvenile idiopathic arthritis following surgery. Eleven eyes of 7 patients underwent complete vitrectomy and peeling of the inner limiting membrane. Inclusion criteria were: anteroposterior segment involvement, hypotony, inflammation control of less than 3 months, compliance issues, rapidly progressive disease. Phacoemulsification was allowed if the patient was >6 years old and inflammation free >3 months. The alternative was a complete lensectomy. Visual acuity improved from a logMAR of 1.48 to 0.37 (p < 0.0001), and 0.20 at 6 and 12 months (p < 0.0001). No flare-up was observed within the first 6 months. Five eyes developed inflammation between 7 and 19 months. Glaucoma developed in 5 eyes at a median of 16 months. No patient developed cystoid macular edema. Extensive pars plana vitrectomy and cataract extraction can lead to significant improvement in visual acuity. Patients continue to require long-term immunosuppression and adequate follow-up. 2014 S. Karger AG, Basel
Find related publications in this database (using NLM MeSH Indexing)
Adolescent -
Arthritis, Juvenile - complications
Cataract - etiology
Child -
Child, Preschool -
Chronic Disease -
Epiretinal Membrane - surgery
Female -
Humans -
Lens Implantation, Intraocular -
Male -
Ocular Hypotension - etiology
Ocular Hypotension - surgery
Phacoemulsification -
Uveitis - etiology
Visual Acuity - physiology
Vitrectomy -

Find related publications in this database (Keywords)
Juvenile idiopathic arthritis
Uveitis
Complications
Surgical management
Anterior vitrectomy
Posterior vitrectomy
Ocular hypotony
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