La vitrectomía como terapia antinflamatoria de la uveítis intermedia en niños

Translated title of the contribution: Pars plana vitrectomy as anti-inflammatory therapy for intermediate uveitis in children

M. S. Figueroa, S. Noval*, I. Contreras, C. Arruabarrena, J. L. García-Pérez, M. Sales, R. Gil-Cazorla

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review


Purpose: Intermediate uveitis represents between 2 and 26% of uveitis in children. The spectrum of the disease is highly variable, ranging between mild cases that resolve spontaneously and chronic, severe forms that develop multiple episodes and complications. The purpose of this study is to evaluate the efficacy of vitrectomy to control inflammation in children with recurrent intermediate uveitis. Methods: Retrospective evaluation of patients with at least six months of follow-up. All patients under 16 who had undergone vitrectomy for intermediate uveitis were included. Vitrectomy was performed after at least two episodes of intermediate uveitis in children that had had no previous prophylactic systemic immunosuppressant treatment. Data recorded were visual acuity (VA), recurrences and surgical complications. Results: Seven eyes of five children with intermediate uveitis who underwent vitrectomy were included. After a mean follow-up of 34 months, VA improved in all eyes after surgery. Four eyes developed mild subcapsular posterior cataracts. Post-surgical recurrences were anterior and responded to topical treatment, except for an episode of intermediate uveitis that required a periocular injection of triamcinolone. Only one patient is being treated with systemic immunosuppressants, due to the presence of repeated episodes of uveitis in the non-vitrectomised eye and since his parents were unwilling to have him undergo new surgery. Conclusions: Vitrectomy with inferior cryotheraphy controls inflammation in intermediate uveitis in children with good mid-term results avoiding the secondary side-effects of systemic immunosuppressants.

Translated title of the contributionPars plana vitrectomy as anti-inflammatory therapy for intermediate uveitis in children
Original languageSpanish
Pages (from-to)390-394
Number of pages5
JournalArchivos de la Sociedad Espanola de Oftalmologia
Issue number12
Publication statusPublished - 1 Dec 2010


  • Intermediate uveitis
  • Pars planitis
  • Uveitis in children
  • Vitrectomy


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