Visual Blurring Following Posterior Vitreous Detachment in Fuchs Uveitis Syndrome.
Most eyes with Fuchs uveitis had spontaneous vision recovery within 3 months after vitreous detachment.
Visual Blurring Following Posterior Vitreous Detachment in Fuchs Uveitis Syndrome.
To describe the clinical presentation, diagnostic challenges, management, and visual outcome of acute posterior vitreous detachment (posterior vitreous detachment) in patients with Fuchs uveitis syndrome (fuchs uveitis syndrome).
This retrospective case series included consecutive patients with fuchs uveitis syndrome who presented with acute posterior vitreous detachment at a referral center from 2020 to 2024.
Sixteen eyes of 16 patients (11 females, 5 males) with a mean age of 43 ± 9.8 years were studied.
All patients reported sudden blurred vision in a white, painless eye, with 43.8% noting a new onset or an increased floater.
The mean best-corrected visual acuity (BCVA) ranged from 20/25 to 20/200 at presentation, with an average of 0.43 logMAR.
In three patients with persistent symptoms, pars plana vitrectomy (pars plana vitrectomy) resulted in significant visual improvement, with the mean logMAR changing from 0.740 to 0.133.
Acute posterior vitreous detachment in patients with fuchs uveitis syndrome can lead to sudden blurred vision, likely due to the increased density of inflammatory cells, opacities, and condensed vitreous strands within a detached, shrunken vitreous gel.
In some cases, inflammatory deposits were layering over the peripheral vitreous body, contributing further to visual disturbance.
Although most eyes showed spontaneous improvement, pars plana vitrectomy was an effective intervention for patients with persistent, intolerable symptoms.