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KMID : 0360220090500010085
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Journal of the Korean Ophthalmological Society
2009 Volume.50 No. 1 p.85 ~ p.91
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Clinical Characteristics and Treatments of Intermediate Uveitis
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Kim Jin-Chul
Ham Don-Il
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Abstract
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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.
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KEYWORD
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Clinical characteristics, Intermediate uveitis, Pars planitis, Treatments
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