Vitrectomy and Lentectomy in Childhood Uveitis

The vitrectomy approach is explorative, because the condition of the retina and optic disc could not be estimated preoperatively through the dense cataract. IOP was low –normal. Since the view to the fundus was at first obscured the lens was removed via a limbal approach by a vitreous cutter. Then a common three port vitrectomy approach was possible showing a fibrotic ciliary body and peripheral retina as a consequence of long standing intermediate uveitis. The choroid showed disseminated spots of atrophy also likely consequences of (granulomatous) posterior uveitis. The ILM was peeled from the macula because of macular edema, and the retina was lasered  panretinally because of retinal vascular occlusion. Spectacle were adapted. The child has ambulatory vision since 5 years now and no phthisis yet.