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Henry J Kaplan, MD, Nathan Podoll, MD, Niloofar Piri, MD
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The patient is a 37-year old African American gentleman with a 17-year history of chronic idiopathic panuveitis. His visual acuity was HM OD, with pre-phthsis bulbi; 20/100 OS secondary to an occlusive pupillary membrane obstructing the visual axis through his IOL. Intraocular inflammation OS was controlled with medical therapy. Surgical removal of the pupillary membrane, which was multilayered, resulted in improved vision to 20/50 one week after surgery.
Posted: 7/03/2014
Henry J Kaplan, MD, Nathan Podoll, MD, Niloofar Piri, MD
The patient is a 37-year old African American gentleman with a 17-year history of chronic idiopathic panuveitis. His visual acuity was HM OD, with pre-phthsis bulbi; 20/100 OS secondary to an occlusive pupillary membrane obstructing the visual axis through his IOL. Intraocular inflammation OS was controlled with medical therapy. Surgical removal of the pupillary membrane, which was multilayered, resulted in improved vision to 20/50 one week after surgery.
Posted: 7/03/2014
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Niloofar Piri
10 years ago
As of last month (April 2015), the membrane has not recurred yet. the inflammation is controlled and the vision is 20/50
Niloofar Piri
10 years ago
As of today,which is more than one year after surgery, the inflammation is still controlled and the membrane is not formed , vision 20/50. Well control of inflammation is the most important factor in preventing recurrence of uveitic membranes.
Niloofar Piri
11 years ago
Dr Shalbab, Thanks for your comment ; although dense,the membrane was too thin to be grabbed by vitrector and interestingly we could peel it off completely; the whole time of surgery was not much more than what you see in the video and I think this is less traumatic and more gentle because while using the vitrector you need to insert an infusion from another incision to keep maintenance of AC ; however ,we only injected Healon and used forceps and scissors without too much manipulation and with less corneal endothelial damage and less post op inflammation.
SHALABH SINHA
11 years ago
Why not simply use a small gauge vitreous cutter to solve this problem?
SHALABH SINHA
11 years ago
Why not simply use a small gauge vitreous cutter to solve this problem?
Niloofar Piri
11 years ago
As the inflammation was completely controlled for more than 3 months before surgery and is still controlled there has been no recurrence so far which is 3 months after surgery. The most important point is well control of inflammation for long term.
Antonio Palomino
11 years ago
I think the problem is in the appearance of the membrane again Thanks