Clinical Characteristics and Treatments of Intermediate Uveitis.
10.3341/jkos.2009.50.1.85
- Author:
Jin Chul KIM
1
;
Don Il HAM
Author Information
1. Department of Ophthalmology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. oculus@naver.com
- Publication Type:Original Article
- Keywords:
Clinical characteristics;
Intermediate uveitis;
Pars planitis;
Treatments
- MeSH:
Cataract;
Epiretinal Membrane;
Eye;
Follow-Up Studies;
Humans;
Immunosuppressive Agents;
Macular Edema;
Medical Records;
Pars Planitis;
Retinal Detachment;
Retrospective Studies;
Steroids;
Traction;
Uveitis, Intermediate;
Vasculitis;
Visual Acuity;
Vitrectomy
- From:Journal of the Korean Ophthalmological Society
2009;50(1):85-91
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To investigate the clinical characteristics and treatment of intermediate uveitis under new diagnostic standards. METHODS: Medical records of patients diagnosed with pars planitis or intermediate uveitis were followed for more than 6 months, and retrospectively reviewed. RESULTS: A total of 90 patients and 117 eyes were enrolled in the study. The mean age was 40.1 years, and the mean follow-up period was 43.0 months. Thirty percent of cases were bilateral. The most common initial symptom was decreased visual acuity. Snowbank was detected in 39.3%, snowballs in 15.4%, vitritis in 96.6%, and vasculitis in 56.4%. Common complications includedcystoid macular edema (57.3%), cataracts (43.6%), and epiretinal membrane (36.8%). Therapies included topical steroids (82.9% of cases), posterior sub-Tenon steroid injection (45.3% of cases), systemic steroid administration (67.8% of cases), and immunosuppressants (28.7% of cases). Vitrectomy was performed in 11.1% of patients due to complications such as epiretinal membrane and traction retinal detachment. The mean initial and final visual acuities were 0.67 and 0.74, respectively. CONCLUSIONS: The patients in this study experienced various courses of symptoms that required different treatment plans. Future investigations may corroborate these results.
