Twenty-five gauge vitrectomy in uveitis

Detalhes bibliográficos
Autor(a) principal: Kamei, Roger Roberto Wada [UNIFESP]
Data de Publicação: 2012
Outros Autores: Arantes, Tiago Eugênio Faria E [UNIFESP], Garcia, Claudio Renato [UNIFESP], Muccioli, Cristina [UNIFESP]
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da UNIFESP
Texto Completo: http://dx.doi.org/10.1590/S0004-27492012000200007
http://repositorio.unifesp.br/handle/11600/7055
Resumo: PURPOSE: To evaluate anatomical and functional results of 25-gauge transconjunctival sutureless pars plana vitrectomy in patients with uveitis. METHODS: Vitrectomy was performed on 20 eyes with residual vitritis secondary to infectious and noninfectious uveitis. Patients were evaluated 1 week before surgery and after surgery at day 1, week 1, week 4 and week 12. Visual acuity (VA), intraocular pressure, anterior chamber cells and flare and vitreous haze were measured. RESULTS: Mean VA improved from 2.06 ± 0.94 logMAR before surgery to 0.58 ± 0.46 logMAR at week 12 (p<0.05). No case required conversion to standard 20-gauge instrumentation or suture placement, no intraoperative complications were noted. Transient postoperative hypotony was seen in three eyes. One patient with toxoplasmic retinochoroiditis had a relapse during follow-up. CONCLUSION: 25-gauge vitrectomy has proven its efficacy on cleansing vitreous opacities and improving visual acuity on patients with residual vitritis secondary to uveitis with minimal postoperative inflammation and complications.
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spelling Twenty-five gauge vitrectomy in uveitisVitrectomia 25-gauge em uveítesVitrectomyUveitisVitreous bodyEye infectionsVitrectomiaUveítesCorpo vítreoInfecções ocularesPURPOSE: To evaluate anatomical and functional results of 25-gauge transconjunctival sutureless pars plana vitrectomy in patients with uveitis. METHODS: Vitrectomy was performed on 20 eyes with residual vitritis secondary to infectious and noninfectious uveitis. Patients were evaluated 1 week before surgery and after surgery at day 1, week 1, week 4 and week 12. Visual acuity (VA), intraocular pressure, anterior chamber cells and flare and vitreous haze were measured. RESULTS: Mean VA improved from 2.06 ± 0.94 logMAR before surgery to 0.58 ± 0.46 logMAR at week 12 (p<0.05). No case required conversion to standard 20-gauge instrumentation or suture placement, no intraoperative complications were noted. Transient postoperative hypotony was seen in three eyes. One patient with toxoplasmic retinochoroiditis had a relapse during follow-up. CONCLUSION: 25-gauge vitrectomy has proven its efficacy on cleansing vitreous opacities and improving visual acuity on patients with residual vitritis secondary to uveitis with minimal postoperative inflammation and complications.OBJETIVO: Avaliar os resultados anatômicos e funcionais da vitrectomia via pars plana 25-gauge transconjuntival sem sutura em pacientes com uveítes. MÉTODOS: Realizou-se vitrectomia em 20 olhos com vitreíte residual secundária a uveíte infecciosa e não infecciosa. Os pacientes foram avaliados uma semana antes e após a cirurgia, no primeiro dia, 1ª, 4ª e 12ª semana. Acuidade visual (AV), pressão intraocular, células e flare na câmara anterior e haze vítreo foram medidos. RESULTADOS: A AV média melhorou de 2,06 ± 0,94 logMAR antes da cirurgia para 0,58 ± 0,46 logMAR na 12ª semana (p<0,05). Nenhum caso necessitou de conversão para instrumentos de 20-gauge ou realização de sutura e não foram observadas complicações intraoperatórias. Hipotonia transitória foi observada em três olhos. Um paciente com retinocoroidite por toxoplasmose teve recidiva durante o acompanhamento. CONCLUSÃO: Vitrectomia 25-gauge provou sua eficácia na remoção do vítreo opacificado e na melhora da AV em pacientes com vitreíte residual secundária a uveítes, com mínima inflamação pós-operatória e complicações.Universidade Federal de São Paulo (UNIFESP)Universidade Federal de São Paulo (UNIFESP) Departamento de Oftalmologia Setor de ÚveaUNIFESP, Depto. de Oftalmologia Setor de ÚveaSciELOConselho Brasileiro de OftalmologiaUniversidade Federal de São Paulo (UNIFESP)Kamei, Roger Roberto Wada [UNIFESP]Arantes, Tiago Eugênio Faria E [UNIFESP]Garcia, Claudio Renato [UNIFESP]Muccioli, Cristina [UNIFESP]2015-06-14T13:43:42Z2015-06-14T13:43:42Z2012-04-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersion107-110application/pdfhttp://dx.doi.org/10.1590/S0004-27492012000200007Arquivos Brasileiros de Oftalmologia. Conselho Brasileiro de Oftalmologia, v. 75, n. 2, p. 107-110, 2012.10.1590/S0004-27492012000200007S0004-27492012000200007.pdf0004-2749S0004-27492012000200007http://repositorio.unifesp.br/handle/11600/7055WOS:000310841600007engArquivos Brasileiros de Oftalmologiainfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UNIFESPinstname:Universidade Federal de São Paulo (UNIFESP)instacron:UNIFESP2024-07-29T00:19:09Zoai:repositorio.unifesp.br/:11600/7055Repositório InstitucionalPUBhttp://www.repositorio.unifesp.br/oai/requestbiblioteca.csp@unifesp.bropendoar:34652024-07-29T00:19:09Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)false
dc.title.none.fl_str_mv Twenty-five gauge vitrectomy in uveitis
Vitrectomia 25-gauge em uveítes
title Twenty-five gauge vitrectomy in uveitis
spellingShingle Twenty-five gauge vitrectomy in uveitis
Kamei, Roger Roberto Wada [UNIFESP]
Vitrectomy
Uveitis
Vitreous body
Eye infections
Vitrectomia
Uveítes
Corpo vítreo
Infecções oculares
title_short Twenty-five gauge vitrectomy in uveitis
title_full Twenty-five gauge vitrectomy in uveitis
title_fullStr Twenty-five gauge vitrectomy in uveitis
title_full_unstemmed Twenty-five gauge vitrectomy in uveitis
title_sort Twenty-five gauge vitrectomy in uveitis
author Kamei, Roger Roberto Wada [UNIFESP]
author_facet Kamei, Roger Roberto Wada [UNIFESP]
Arantes, Tiago Eugênio Faria E [UNIFESP]
Garcia, Claudio Renato [UNIFESP]
Muccioli, Cristina [UNIFESP]
author_role author
author2 Arantes, Tiago Eugênio Faria E [UNIFESP]
Garcia, Claudio Renato [UNIFESP]
Muccioli, Cristina [UNIFESP]
author2_role author
author
author
dc.contributor.none.fl_str_mv Universidade Federal de São Paulo (UNIFESP)
dc.contributor.author.fl_str_mv Kamei, Roger Roberto Wada [UNIFESP]
Arantes, Tiago Eugênio Faria E [UNIFESP]
Garcia, Claudio Renato [UNIFESP]
Muccioli, Cristina [UNIFESP]
dc.subject.por.fl_str_mv Vitrectomy
Uveitis
Vitreous body
Eye infections
Vitrectomia
Uveítes
Corpo vítreo
Infecções oculares
topic Vitrectomy
Uveitis
Vitreous body
Eye infections
Vitrectomia
Uveítes
Corpo vítreo
Infecções oculares
description PURPOSE: To evaluate anatomical and functional results of 25-gauge transconjunctival sutureless pars plana vitrectomy in patients with uveitis. METHODS: Vitrectomy was performed on 20 eyes with residual vitritis secondary to infectious and noninfectious uveitis. Patients were evaluated 1 week before surgery and after surgery at day 1, week 1, week 4 and week 12. Visual acuity (VA), intraocular pressure, anterior chamber cells and flare and vitreous haze were measured. RESULTS: Mean VA improved from 2.06 ± 0.94 logMAR before surgery to 0.58 ± 0.46 logMAR at week 12 (p<0.05). No case required conversion to standard 20-gauge instrumentation or suture placement, no intraoperative complications were noted. Transient postoperative hypotony was seen in three eyes. One patient with toxoplasmic retinochoroiditis had a relapse during follow-up. CONCLUSION: 25-gauge vitrectomy has proven its efficacy on cleansing vitreous opacities and improving visual acuity on patients with residual vitritis secondary to uveitis with minimal postoperative inflammation and complications.
publishDate 2012
dc.date.none.fl_str_mv 2012-04-01
2015-06-14T13:43:42Z
2015-06-14T13:43:42Z
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://dx.doi.org/10.1590/S0004-27492012000200007
Arquivos Brasileiros de Oftalmologia. Conselho Brasileiro de Oftalmologia, v. 75, n. 2, p. 107-110, 2012.
10.1590/S0004-27492012000200007
S0004-27492012000200007.pdf
0004-2749
S0004-27492012000200007
http://repositorio.unifesp.br/handle/11600/7055
WOS:000310841600007
url http://dx.doi.org/10.1590/S0004-27492012000200007
http://repositorio.unifesp.br/handle/11600/7055
identifier_str_mv Arquivos Brasileiros de Oftalmologia. Conselho Brasileiro de Oftalmologia, v. 75, n. 2, p. 107-110, 2012.
10.1590/S0004-27492012000200007
S0004-27492012000200007.pdf
0004-2749
S0004-27492012000200007
WOS:000310841600007
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv Arquivos Brasileiros de Oftalmologia
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv 107-110
application/pdf
dc.publisher.none.fl_str_mv Conselho Brasileiro de Oftalmologia
publisher.none.fl_str_mv Conselho Brasileiro de Oftalmologia
dc.source.none.fl_str_mv reponame:Repositório Institucional da UNIFESP
instname:Universidade Federal de São Paulo (UNIFESP)
instacron:UNIFESP
instname_str Universidade Federal de São Paulo (UNIFESP)
instacron_str UNIFESP
institution UNIFESP
reponame_str Repositório Institucional da UNIFESP
collection Repositório Institucional da UNIFESP
repository.name.fl_str_mv Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)
repository.mail.fl_str_mv biblioteca.csp@unifesp.br
_version_ 1814268320650625024

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