Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
SHR Neuro Krebs Kardio Lipid Stoffw Microb
Langner-Wegscheider, BJ; de Smet, MD.
Surgical management of severe complications arising from uveitis in juvenile idiopathic arthritis.
Ophthalmologica. 2014; 232(3):179-186
Doi: 10.1159/000365230
Web of Science
PubMed
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- Führende 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