Surgical drainage of chronic serous retinal detachment associated with uveitis.

Published

Journal Article

PURPOSE: To evaluate the anatomic and visual outcomes after surgical management of chronic serous retinal detachments (SRD) associated with uveitis. METHODS: Retrospective, interventional, case study of patients with uveitis with controlled ocular inflammation who underwent drainage of a chronic SRD at the Cole Eye Institute (1998-2006). Data collected included diagnosis, ophthalmic findings, medical management, surgical technique, complications, and anatomic and visual outcomes. RESULTS: Five patients with uveitis were identified who underwent surgical drainage of a SRD. Preoperative medical treatment included prednisone 1 mg/kg with various tapering regimens. The median time on oral corticosteroids preoperatively was 4 months (range 3-6 months). Four patients received further adjuvant treatment. Median time from SRD diagnosis to surgical drainage was 6 months (range 3-15 months). No patient had active intraocular inflammation preoperatively. Retinal reattachment was achieved in all patients after a median follow-up of 55 months (range 1-61 months). Four of five patients experienced improvement in visual acuity after surgical intervention. CONCLUSION: Select patients with uveitis with a SRD whose subretinal fluid fails to resorb after medical therapy and resolution of inflammation can achieve long-term retinal reattachment by surgical management.

Full Text

Duke Authors

Cited Authors

  • Galor, A; Lowder, CY; Kaiser, PK; Perez, VL; Sears, JE

Published Date

  • February 2008

Published In

Volume / Issue

  • 28 / 2

Start / End Page

  • 282 - 288

PubMed ID

  • 18301034

Pubmed Central ID

  • 18301034

International Standard Serial Number (ISSN)

  • 0275-004X

Digital Object Identifier (DOI)

  • 10.1097/IAE.0b013e3181237d14

Language

  • eng

Conference Location

  • United States