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Retinal tears associated with panuveitis and Behçet's disease
1Baskent University Faculty of Medicine, Department of Ophthalmology, Bahçelievler, Ankara, Turkey. ma08-k@tr-net.net.tr
Ophthalmic Surgery and Lasers
|November 26, 1999
Summary
Retinal tears can form in patients with active panuveitis and Behçet's disease. Prompt laser photocoagulation is crucial for managing these tears and preventing vision loss.
Area of Science:
- Ophthalmology
- Rheumatology
- Medical Research
Background:
- Behçet's disease is a multisystem inflammatory disorder.
- Active panuveitis is a severe ocular manifestation of Behçet's disease.
- Retinal tears are an uncommon but serious complication.
Observation:
- Two patients with active panuveitis due to Behçet's disease developed retinal tears.
- Tears occurred in the presence of active retinal lesions and inflammation.
- One patient had a peripheral tear, while the other had multiple tears in both eyes.
Findings:
- Prompt argon laser photocoagulation was successful in treating the retinal tears.
- Ocular inflammation was controlled with systemic immunosuppressive therapy (steroids, cyclosporine).
- No new retinal tears developed during follow-up periods of 8 and 16 months.
Implications:
- Clinicians should consider retinal tears as a complication in Behçet's panuveitis patients.
- Detailed ophthalmoscopy is crucial for detecting tears, especially with vitreous changes.
- Immediate laser photocoagulation is recommended to prevent retinal detachment.