Vitreoretinal surgery in intermediate uveitis.

Between 1987 and 1992, vitrectomies were performed in 42 eyes with intermediate uveitis. Pre- and postoperative clinical and ophthalmological parameters were reviewed. Especially the pre- and postoperative time courses of visual acuity were analyzed. We looked for parameters influencing the final visual results. Furthermore, we revised pre- and postoperative recurrent exacerbations of the disease and the duration and dosage of postoperative corticosteroid therapy. The best final visual results were reached in eyes with the best preoperative visual acuities. Anatomic retinal findings and the preoperative duration of intermediate uveitis predominantly influenced the final visual results. Overall, 75% of our patients reached visual acuities of above 20/200. When asked to state their opinion about the final functional result, 80% of the patients were contented. We advocate vitrectomy in patients with intermediate uveitis after intensive follow-up and careful consideration. The anatomic integrity of the retina, a good preoperative visual acuity, and a short preoperative duration of intermediate uveitis are the most important factors influencing the final visual results.