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Int Ophthalmol. 2009 Jun;29(3):127-33. doi: 10.1007/s10792-008-9200-z. Epub 2008 Feb 23.

Long-term control of cystoid macular oedema in noninfectious uveitis with Mycophenolate Mofetil.

Author information

1
Neuroscience Department, Ophthalmology Section, Polytechnic University of Marche, Via Tronto 10, Torrette, Ancona, Italy. doctor_blacks@hotmail.com

Abstract

PURPOSE:

To evaluate the long-term safety and efficacy of Mycophenolate Mofetil (MMF) for the control of cystoid macular oedema (CMO) secondary to noninfectious uveitis (NU).

METHODS:

The medical records of 19 consecutive patients with inflammatory CMO treated with MMF were retrospectively reviewed. Patient demographics, best corrected visual acuity (BCVA), fluorescein angiography (FA), and optical coherence tomography (OCT) findings were evaluated.

RESULTS:

There were eight females and 11 males with a mean age of 32.9 +/- 8.9 years. After a 1-year follow-up, 18/19 patients (31 eyes, 96.9%, P < 0.05) no longer had signs of CMO, as per their FA and OCT findings; the mean central foveal thickness (CFT) was 167.2 +/- 12.8 microm. At the last follow-up, only 3/19 patients, all affected by Beh├žet panuveitis, had recurrences of CMO. Mean BCVA improved from 0.34 +/- 0.14 SD at baseline to 0.65 +/- 0.2 SD at last follow-up.

CONCLUSIONS:

MMF was safe and effective in controlling CMO and in reducing the uveitis relapse rate in patients not responding to traditional immunosuppressants. Further case-controlled studies are mandatory to validate those preliminary results.

PMID:
18297240
DOI:
10.1007/s10792-008-9200-z
[Indexed for MEDLINE]

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