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25G Vitrectomy for the Treatment of Chronic Intermediate Uveitis with Retinal Cyst

  Channels: Retina | Posted 8/14/2013

Shlomit Schaal, MD, PhD, and Niloofar Piri, MD, present 25G vitrectomy surgery for an intermediate chronic uveitis of unknown etiology with heavy vitreous floaters. A 62-year-old Caucasian gentleman presented with chronic uveitis and heavy vitreous floaters. Laboratory workup has not revealed the inflammation etiology. The pupil was miotic and unresponsive to topical dilation, therefore iris hooks were used to dilate the pupil. 25 G vitrectomy was performed for diagnostic and therapeutic purposes. 25G trocars were inserted in a beveled manner. 25G vitrectomy was performed. An incidental retinal cyst was identified and was surrounded by endolaser photocoagulation. Air/Fluid exchange was performed, and hooks and cannulas were removed. Patient’s vision post-op improved from 20/200 to 20/40. Vitreous sample investigation for viruses, and malignant cells was negative.

cyst • Posterior noninfectious uveitis • Retina • Uveitis