BACKGROUND AND OBJECTIVES: To evaluate the outcomes of vitreoretinal surgery f or the ocular complications of Behet’s disease. PATIENTS AND METHODS: This re trospective study included 20 eyes of 15 patients with Be...BACKGROUND AND OBJECTIVES: To evaluate the outcomes of vitreoretinal surgery f or the ocular complications of Behet’s disease. PATIENTS AND METHODS: This re trospective study included 20 eyes of 15 patients with Behet’s disease (9 men , 6 women; mean age at surgery, 31.0±1.8 years; range, 21-44 years) who had un dergone vitreoretinal surgery for Behet’s disease at Ondokuz Mayis University , Faculty of Medicine, Department of Ophthalmology, Samsun, Turkey, between Janu ary 2000 and September 2003. Postoperative visual acuity outcome, course of uvei tis, and complications were evaluated in all patients. RESULTS: Indications for surgery were vitreous opacities in 10 eyes (50%), cystoid macular edema in 5 ey es (25%), epiretinal membrane in 3 eyes (15%)-, and vitreous hemorrhage in 2 eyes (10%). At the last postoperative follow-up, visual acuity had increased 2 Snellen lines or more in 10 (50%) of 20 eyes. Cystoid macular edema completely improved in 3 (60%) of 5 eyes after vitrectomy. Uveitis attacks significantly decreased during follow-up (P=.015). Immunosuppressive treatment was stopped in 11 (73%) of 15 patients. Retinal detachment and phthisis were not observed in any eye. CONCLUSION: Vitreoretinal surgery may be useful in the treatment of pos terior segment complications of Behet’s disease.展开更多
A rare side effect of betamethasone applied subconjunctivally is described. A 51-year-old man who had undergone penetrating keratoplasty in his left eye 2 m onths previously developed graft rejection and was treated b...A rare side effect of betamethasone applied subconjunctivally is described. A 51-year-old man who had undergone penetrating keratoplasty in his left eye 2 m onths previously developed graft rejection and was treated by subconjunctival in jection of beta methasone. Within 2 weeks, the patient complained of conjunctival hyperemia and irritation. Biomicroscopic examination revealed conjunctival and subconjunctival necrosis with white necrotic tissue at the subconjunctival corticosteroid injec tion site. Simple debridement and primarywound closure of the involved area resu lted in complete healing. Ophthalmologists should be aware that subconjunctival injection of betamethasone may cause conjunctival necrosis.展开更多
文摘BACKGROUND AND OBJECTIVES: To evaluate the outcomes of vitreoretinal surgery f or the ocular complications of Behet’s disease. PATIENTS AND METHODS: This re trospective study included 20 eyes of 15 patients with Behet’s disease (9 men , 6 women; mean age at surgery, 31.0±1.8 years; range, 21-44 years) who had un dergone vitreoretinal surgery for Behet’s disease at Ondokuz Mayis University , Faculty of Medicine, Department of Ophthalmology, Samsun, Turkey, between Janu ary 2000 and September 2003. Postoperative visual acuity outcome, course of uvei tis, and complications were evaluated in all patients. RESULTS: Indications for surgery were vitreous opacities in 10 eyes (50%), cystoid macular edema in 5 ey es (25%), epiretinal membrane in 3 eyes (15%)-, and vitreous hemorrhage in 2 eyes (10%). At the last postoperative follow-up, visual acuity had increased 2 Snellen lines or more in 10 (50%) of 20 eyes. Cystoid macular edema completely improved in 3 (60%) of 5 eyes after vitrectomy. Uveitis attacks significantly decreased during follow-up (P=.015). Immunosuppressive treatment was stopped in 11 (73%) of 15 patients. Retinal detachment and phthisis were not observed in any eye. CONCLUSION: Vitreoretinal surgery may be useful in the treatment of pos terior segment complications of Behet’s disease.
文摘A rare side effect of betamethasone applied subconjunctivally is described. A 51-year-old man who had undergone penetrating keratoplasty in his left eye 2 m onths previously developed graft rejection and was treated by subconjunctival in jection of beta methasone. Within 2 weeks, the patient complained of conjunctival hyperemia and irritation. Biomicroscopic examination revealed conjunctival and subconjunctival necrosis with white necrotic tissue at the subconjunctival corticosteroid injec tion site. Simple debridement and primarywound closure of the involved area resu lted in complete healing. Ophthalmologists should be aware that subconjunctival injection of betamethasone may cause conjunctival necrosis.
