Please use this identifier to cite or link to this item:
https://www.arca.fiocruz.br/handle/icict/62704
Type
ArticleCopyright
Restricted access
Embargo date
2030-12-31
Collections
- INI - Artigos de Periódicos [3502]
Metadata
Show full item record
VITREORETINAL SURGERY IN UVEITIS: FROM OLD TO NEW CONCEPTS - A REVIEW
Cystoid Macular Edema
Macular Hole
Pars Plana Vitrectomy
Rhegmatogenous Retinal Detachment
Author
Affilliation
Retina and Vitreous Department. Suel Abujamra Institute. São Paulo, SP, Brazil.
Retina and Vitreous Department. Suel Abujamra Institute. São Paulo, SP, Brazil.
Retina and Vitreous Department. Suel Abujamra Institute. São Paulo, SP, Brazil / University of São Paulo. Retina and Vitreous Department. São Paulo, SP, Brazil.
Retina and Vitreous Department. Suel Abujamra Institute. São Paulo, SP, Brazil.
Oswaldo Cruz Foundation. Evandro Chagas National Institute of Infectious Diseases. Clinical Research Laboratory of Infectious Diseases in Ophthalmology. Rio de Janeiro, RJ, Brazil.
Retina and Vitreous Department. Suel Abujamra Institute. São Paulo, SP, Brazil.
Retina and Vitreous Department. Suel Abujamra Institute. São Paulo, SP, Brazil / University of São Paulo. Retina and Vitreous Department. São Paulo, SP, Brazil.
Retina and Vitreous Department. Suel Abujamra Institute. São Paulo, SP, Brazil.
Oswaldo Cruz Foundation. Evandro Chagas National Institute of Infectious Diseases. Clinical Research Laboratory of Infectious Diseases in Ophthalmology. Rio de Janeiro, RJ, Brazil.
Abstract
Purpose: The aim of this article is to do a comprehensive literature review about the current role of pars plana vitrectomy in uveitis and in its different structural complications such as cystoid macular edema, epiretinal membrane, macular hole, and retinal detachment. Methods: This comprehensive literature review was performed based on a search on PubMed, BioMed Central, Science Open, and CORE databases, of relevant articles abording pars plana vitrectomy in uveitis. Discussion: Uveitis is a complex disease with multiple etiologies and pathogenic mechanisms. Therapeutic pars plana vitrectomy (PPV) may aid in uveitic structural complications such as cystoid macular edema, epiretinal membranes, macular hole, and retinal detachments even though some cases may present unpredictable visual outcomes. Diagnostic PPV with appropriate ancillary testing is also a valuable tool for the assessment and diagnosis of uveitis in a large proportion of patients. Conclusion: Over the years, pars plana vitrectomy has undergone significant transformations since its invention nearly 5 decades ago, however, the quality of evidence in the literature regarding its use for uveitis has not improved in the same way. Even though some structural uveitis complications (as previously mentioned) may respond well to surgery, there is still a certain unpredictability regarding its visual outcomes. On the other hand, diagnostic vitrectomy with appropriate ancillary testing is also a valuable tool for the assessment and diagnosis of uveitis in a large proportion of patients.
Keywords
UveitisCystoid Macular Edema
Macular Hole
Pars Plana Vitrectomy
Rhegmatogenous Retinal Detachment
Share