000 02300nam a22001937a 4500
999 _c10294
_d10294
003 PILC
005 20240720152936.0
008 171027b xxu||||| |||| 00| 0 eng d
040 _cFEU-NRMF MEDICAL LIBRARY
041 _aENGLISH
050 _aRESOPH20170001
100 _4author
_aPalma, Rudolf Christian F., MD
245 _aRetinal Detachment in Uveitis
260 _aQUEZON CITY
_bFEU-NMRF
_c2017
300 _a25 PAGES
520 _aABSTRACT: 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
521 _aresearch
942 _2lcc
_cRE