Indications for PPV in Uveitis

Accepted Indications • Urgent indications

- Rhegmatogenous retinal detachment

- Phacolytic uveitis

• Elective indications

- Visually significant vitreous opacities despite adequate treatment with cor-ticosteroids or immunosuppressive therapy

- Vitreomacular traction associated with macular oedema

- Non-clearing vitreous haemorrhage

- Visually significant epiretinal membranes

- In combination with other ocular procedures: pars plana lensectomy, placement of GDD

- For diagnosis of infections or intraocular lymphoma

Relative or Controversial Indications

• Alternative to immunosuppressive or corti-costeroid therapy

• CME unresponsive to medical treatment

• Hypotony due to cyclitic membrane

• Combined with extracapsular cataract surgery and intraocular lens implantation

• Removal of chronic vitreous opacities with mild to moderate decrease in vision

Contraindications to PPV

• Epiretinal membrane not causing decreased visual acuity

• Chronic CME with damaged photoreceptors

• Stable traction detachments

• Inflammatory choroidal effusion

• Exudative retinal detachments

• Anterior uveitis or posterior uveitis without significant vitreous inflammation

• Acute active uveitis, as PPV may be followed by severe postoperative inflammation

• Suspected retinoblastoma masquerading as uveitis

References

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