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Victor Llorens, Johannes Keller, Amanda Rey, Laura Pelegrin, Alfredo Adan, Marina Mesquida; Pars Plana Vitrectomy for Vitreo-Retinal Complications of Birdshot Chorioretinopathy. Invest. Ophthalmol. Vis. Sci. 2011;52(14):2753.
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To evaluate the anatomical and functional outcomes of pars plana vitrectomy (PPV) in the treatment of vitreo-retinal complications of Birdshot Chorioretinopathy (BCR).
The clinical records of 9 consecutive patients (16 eyes) with vitreo-retinal complications in BCR who underwent pars plana vitrectomy were reviewed.
Indications for PPV were: macular edema in 9 eyes (56.2%) and persistent vitreous opacities in 7 (43.8%). At last examination (mean follow up, 44.1 months), visual acuity improved significantly in 9 eyes (56.2%), was stable in 6 (37.5%) and worsened in 1 eye (11.1%). Vitreous cells were reduced in all cases with vitreous opacities. Macular thickness on optical coherence tomography exams decreased significantly (p=0.015) after surgery in eyes with macular edema.
In this small series of eyes with limited follow-up, PPV seems to be a safe and effective treatment for vitreo-retinal complications in patients with BCR. It can play an important role in the management of chronic inflammatory complications unresponsive to medical treatment.
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