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Abstract #6444 Published in IGR 3-2
Phacoemulsification cataract extraction and posterior chamber lens implantation in patients with uveitis
Estafanous MFG; Lowder CY; Meisler DM; Chauhan RAmerican Journal of Ophthalmology 2001; 131: 620-625
PURPOSE: This study reports outcomes of phacoemulsification cataract extraction and posterior chamber intraocular lens (IOL) implantation within the capsular bag in patients with uveitis. METHODS: The authors retrospectively reviewed the charts of 32 patients (39 eyes) with uveitis who underwent phacoemulsification cataract extraction and posterior chamber IOL implantations by two surgeons at The Cleveland Clinic Foundation from January 1990 to June 1998. Patients with less than three months of follow-up were excluded. RESULTS: Diagnoses of uveitis included idiopathic (15 eyes), sarcoidosis (ten eyes), pars planitis (four eyes), cytomegalovirus retinitis (two eyes), Fuchs heterochromic iridocyclitis (two eyes), syphilis (two eyes), and one eye each of tuberculosis, Crohn disease, HLA-B27 associated, and acute retinal necrosis. Average follow-up was 20 months (range, 3-63 months). Best-corrected visual acuity improved in 37 eyes (95%). Average improvement was 4 ± 3 Snellen acuity lines (range, 1-10 lines). Thirty-four eyes (87%) attained final visual acuity better than or equal to 20/40. visual loss occurred in one eye (3%) with cytomegalovirus retinitis. No improvement in visual acuity was seen in one eye (3%) that developed a retinal pigment epithelial detachment. Posterior capsule opacification occurred in 24 eyes (62%), 12 of which required Nd:YAG capsulotomy (31%). Other postoperative complications included recurrence of uveitis (41%), cystoid macular edema (33%), epiretinal membrane formation (15%), and posterior synechiae (8%). CONCLUSIONS: Phacoemulsification cataract extraction with posterior chamber IOL implantation is safe in patients with uveitis. The incidences of recurrence of uveitis, cystoid macular edema, epiretinal membrane, and posterior synechiae were lower than those reported previously for extracapsular cataract extraction.
Dr C.Y. Lowder, Cole Eye Institute, 9500 Euclid Avenue, Cleveland, OH 44195, USA. lowderc@ccf.org
Classification:
9.4.6 Glaucomas associated with inflammation, uveitis (Part of: 9 Clinical forms of glaucomas > 9.4 Glaucomas associated with other ocular and systemic disorders)
12.12.3 Phacoemulsification (Part of: 12 Surgical treatment > 12.12 Cataract extraction)