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Abstract

■ Noninfectious uveitides are systemic (auto)immune disorders mediated by activation of antigen-specific T-lymphocytes and, in the main, tissue destruction orchestrated by nonspecific mononuclear cells. Disease remission is achieved by systemic immunosuppression, whilst control of chronic ocular inflammation can be achieved by a local or systemic suppression of the immune response.
■ Given current evidence, the clinical efficacy of immunosuppressive and immunomodulatory drugs underlines their role as a first-line therapy for uveitis.
■ Vitrectomy is indicated in patients with uveitis to manage complications and improve visual acuity. There is only scant evidence supporting a therapeutic effect of vitrectomy for noninfectious uveitis.
■ Vitreous opacities in patients with Fuchs uveitis syndrome and intermediate uveitis refractory to medical treatment are indications for a therapeutic vitrectomy.

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