J Korean Ophthalmol Soc.  2009 Jan;50(1):85-91. 10.3341/jkos.2009.50.1.85.

Clinical Characteristics and Treatments of Intermediate Uveitis

Affiliations
  • 1Department of Ophthalmology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. oculus@naver.com

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.

Keyword

Clinical characteristics; Intermediate uveitis; Pars planitis; Treatments

MeSH Terms

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
Immunosuppressive Agents
Steroids

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Dong Hyun Kim, Bum Joo Cho, Hum Chung, Jang Won Heo
J Korean Ophthalmol Soc. 2015;56(5):721-726.    doi: 10.3341/jkos.2015.56.5.721.


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