Clinical Characteristics and Treatments of Intermediate Uveitis.

Kim, Jin Chul; Ham, Don Il

doi:2009.50.1.85

J Korean Ophthalmol Soc > Volume 50(1); 2009 > Article

Original Article

Journal of the Korean Ophthalmological Society 2009;50(1):85-91.
DOI: https://doi.org/10.3341/jkos.2009.50.1.85 Published online January 15, 2009.

Clinical Characteristics and Treatments of Intermediate Uveitis.

Jin Chul Kim, Don Il Ham

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

중간포도막염의 임상양상과 치료

김진철ㆍ함돈일

Department of Ophthalmology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea

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.

Key Words: Clinical characteristics;Intermediate uveitis;Pars planitis;Treatments