Treatment of pars planitis with cryotherapy.

Abstract

Cryotherapy was performed on 28 eyes exhibiting massive exudates (snowbank) over the pars plana and the ora serrata. Twenty-six patients ranging in age from 8 to 52 years were treated and then followed up for a median of 34 months. Eleven eyes needed repeat cryotherapy. After cryotherapy, retinal vasculitis and vitreous opacities decreased in most eyes. Although only 3 of 5 eyes with a snowbank greater than 90 degrees and treated over 1 year from the onset achieved visual acuity of 20/25 or better, all 12 eyes with a snowbank smaller than 60 degrees and treated within 3 months after the onset maintained a visual acuity of 20/25 or better. The prognosis was not different from the 20 eyes that received systemic steroid treatment and the 8 eyes that received no systemic steroids. We recommend cryotherapy as the primary treatment for pars planitis with a snowbank.

• Authors: S Okinami, M Sunakawa, I Arai, M Iwaki, M Nihira, N Ogino
• Journal: Ophthalmologica. Journal international d'ophtalmologie. International journal of ophthalmology. Zeitschrift fur Augenheilkunde (Ophthalmologica) Vol. 202 Issue 4 Pg. 180-6 ( 1991) ISSN: 0030-3755 [Print] Switzerland
• PMID: 1945296 (Publication Type: Journal Article)

Chemical References

• Adrenal Cortex Hormones

Topics

• Adolescent
• Adrenal Cortex Hormones (administration & dosage)
• Adult
• Child
• Combined Modality Therapy
• Cryosurgery
• Female
• Follow-Up Studies
• Humans
• Male
• Middle Aged
• Ophthalmoscopy
• Pars Planitis (drug therapy, surgery)
• Postoperative Complications (etiology)
• Reoperation
• Visual Acuity (drug effects)