Pars plana vitrectomy for vitreo-retinal complications of birdshot chorioretinopathy

Ocul Immunol Inflamm. 2011 Oct;19(5):346-52. doi: 10.3109/09273948.2011.590265. Epub 2011 Aug 8.

Abstract

Purpose: To evaluate the anatomical and functional outcomes of pars plana vitrectomy (PPV) in the treatment of vitreoretinal complications of birdshot chorioretinopathy (BCR).

Methods: The clinical records of 9 consecutive patients (16 eyes) with vitreo retinal complications in BCR refractory to medical therapy who underwent pars plana vitrectomy were reviewed.

Results: Indications for PPV were macular edema in 9 eyes (56.2%), and persistent vitreous opacities in 7 (43.8%). At a mean postoperative follow-up of 44.1 months, best-corrected visual acuity improved ≥2 Snellen lines in 9 eyes (56.2%), remained stable in 6 (37.5%) and worsened in 1 eye (11.1%). Systemic medication was significatively reduced after surgery (p = .020) and macular thickness on optical coherence tomography exams decreased significatively in eyes with macular edema (p= .0039).

Conclusions: In this small series of eyes with limited follow-up PPV seems to be a safe and effective for treatment of vitreoretinal complications in patients with BCR.

MeSH terms

  • Adult
  • Birdshot Chorioretinopathy
  • Cataract Extraction / methods
  • Chorioretinitis / complications*
  • Chorioretinitis / surgery*
  • Female
  • Humans
  • Macular Edema / etiology
  • Macular Edema / surgery
  • Male
  • Middle Aged
  • Pars Planitis / etiology
  • Pars Planitis / surgery*
  • Retrospective Studies
  • Tomography, Optical Coherence
  • Treatment Outcome
  • Visual Acuity
  • Vitrectomy / methods*
  • Vitreoretinal Surgery / methods
  • Vitreous Body / surgery