Retinal Detachment in Uveitis

ABSTRACT: This is a case series of three patients who were diagnosed with uveitis secondary to an inflammatory and infectious etiology. All three patients presented with blurring of vision on one eye. On initial consult, ophthalmologic examinations were done revealing visual acuities ranging at 20/400 to counting fingers and intact extraocular muscles. Slit lamp revealed posterior synechiae and posterior subcapsular cataract on all three patients. Fundoscopy of the first patient presented with vitritis, ciliary body granuloma, tractional membranes and retinal detachment. The second patient's fundoscopy showed vitritis, "snowbanking", traction membranes and retinal detachment as well. The third patient's fundoscopy showed bullous retinal detachments.Uveitis laboratory work up was requested and the 3 patients were diagnosed as a case of: first patient as Ocular Toxocariasis; second patient as Ocular Toxoplasmosis and; third patient as Panuveitis. The patients were treated with a topical cycloplegic, topical as well as oral steroids, topical antibiotic, and oral anti-parasitic for the 2 patients with infectious uveitis. All three patients underwent Vitrectomy with Lensectomy Air Fluid Exchange and Silicone oil Implant. Post operatively the patients underwent the procedure well and retina was attached. Regular visual acuity and fundoscopy was done on succeeding follow ups. During the post operative course the first patient's visual acuity declined from counting fingers to hand movement since the patient was non compliant on maintaining face down position hence retinal detachment recurred. With the second patient, visual acuity declined from 20/400 to hand movement due to poor compliance to face down position as well. Retinal detachment recurred; band keratopathy and beginning phthisis

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