Surgical drainage of chronic serous retinal detachment associated with uveitis

Anat Galor, Careen Y. Lowder, Peter K. Kaiser, Victor L. Perez, Jonathan E. Sears

Research output: Contribution to journalArticle

4 Scopus citations

Abstract

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.

Original languageEnglish (US)
Pages (from-to)282-288
Number of pages7
JournalRetina
Volume28
Issue number2
DOIs
StatePublished - Feb 1 2008

Keywords

  • Ocular inflammation
  • Serous retinal detachment
  • Surgical drainage

ASJC Scopus subject areas

  • Ophthalmology
  • Sensory Systems

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