Comparative performance of intraocular lenses in eyes with cataract and uveitis

Alió, Jorge L.; Chipont, Enrique; BenEzra, David; Fakhry, Mohamed A

doi:10.1016/s0886-3350(02)01452-9

Cited by 119 publications

(106 citation statements)

References 32 publications

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“…This confirms previous observations [10]. Alio et al reported the presence of synechiae, especially in eyes with silicone IOLs [7]. In the study of Rauz et al, significant posterior synechiae were also noted in patients with acrylic IOLs [12].…”

Section: Influence On Uveal Biocompatibilitysupporting

confidence: 88%

“…Schauersberger et al did not observe significant numbers of small round cells on any IOLs in a group of patients without uveitis [9], nor did Alio et al find significant differences in small round cell or giant cell deposition between hydrophobic acrylic, silicone, or PMMA IOLs in patients with a history of uveitis [7]. However, hydrophobic and hydrophilic IOLs were not separately analyzed.…”

Section: Influence On Uveal Biocompatibilitymentioning

confidence: 99%

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Uveal and capsular biocompatibility of two foldable acrylic intraocular lenses in patients with endogenous uveitis — a prospective randomized study

Roesel

Heinz

Heimes

et al. 2008

Graefes Arch Clin Exp Ophthalmol

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Section: Influence On Uveal Biocompatibilitysupporting

confidence: 88%

Section: Influence On Uveal Biocompatibilitymentioning

confidence: 99%

Uveal and capsular biocompatibility of two foldable acrylic intraocular lenses in patients with endogenous uveitis — a prospective randomized study

Roesel

Heinz

Heimes

et al. 2008

Graefes Arch Clin Exp Ophthalmol

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“…In this series these trends have been reinforced; no IOL required removal or exchange after a minimum of 5 years; none has been significantly decentred; and the number compromised by adherent inflammatory cells has been small. The optimal IOL material is the continued subject of debate, 31,[34][35][36] and long-term follow-up studies such as this cannot address such issues (being intrinsically out of date with developments in materials). Nevertheless, the high degree of long-term intraocular tolerance of PMMA IOLs, with or without HSM, is further encouragement to the almost universal use of IOLs in patients with uveitis.…”

Section: Discussionmentioning

confidence: 99%

Long-term results of cataract extraction with intraocular lens implantation in patients with uveitis

Rahman

Jones

2004

Eye

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Objective To investigate the long-term visual results after cataract extraction in patients with uveitis, and to demonstrate the long-term viability of intraocular lenses. Design In all, 61 patients (72 eyes), with update clinical examination, were retrospectively evaluated. Comparison of preoperative, postoperative, and latest visual function including best-corrected Snellen visual acuity, progression of uveitis and its complications, need for postoperative medical or surgical interventions.Results After a minimum follow-up of 5 years (mean 7 years 7 months), 82% of eyes maintained a visual improvement of two Snellen lines, 74% maintained 6/9 or better, and 14% had 6/18 or worse. The mode acuity was better than 6/6. The prevalence of macular oedema or scarring was 24%, of posterior capsule opacification 96%, and of glaucoma drainage, 15%. Conclusions We report the long-term followup of cataract extraction and intraocular lens (IOL) implantation performed by a single surgeon on patients with uveitis attending a regional tertiary referral uveitis clinic. Using stringent perioperative and postoperative control of inflammation, patients with uveitis usually maintain high visual acuity over longterm follow-up. The incidence of sightthreatening postoperative complications is low and no ongoing complication has been attributed to IOL implantation.

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“…In terms of intraocular lens type, silicone, acrylic and hydrogel lenses may be used but a possible advantage has been shown for acrylic lenses, which may cause less post-operative inflammation and posterior capsular opacification. 70 Post-operatively, patients may require more intensive topical steroid or other immunomodulatory therapy for control of inflammation.…”

Section: Uveitismentioning

confidence: 99%

Complications of cataract surgery

Chan

Mahroo

Spalton

2010

Clinical and Experimental Optometry

137

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Modern cataract surgery is safe in more than 95 per cent of patients. In the small number of cases where a serious complication occurs, the most common is an intra-operative posterior capsular rupture. This can lead to vitreous loss or a dropped nucleus and can increase the risk of post-operative cystoid macular oedema or retinal detachment. Postoperatively, posterior capsular opacification is the most common complication and can be readily treated with a YAG capsulotomy. The most devastating complication is endophthalmitis, the rate of which is now significantly decreased through the use of intracameral antibiotics. As a clinician, the most important step is to assess the patient pre-operatively to predict higher risk individuals and to counsel them appropriately. In these patients, various pre-or intra-operative management steps can be taken in addition to routine phacoemulsification to optimise their visual outcome.

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Comparative performance of intraocular lenses in eyes with cataract and uveitis

Abstract: Phacoemulsification with IOL implantation in selected uveitic eyes was safe and effective. Acrylic IOLs provided a better visual outcome and lower complication rate than IOLs of other materials.

Cited by 119 publications

References 32 publications

Uveal and capsular biocompatibility of two foldable acrylic intraocular lenses in patients with endogenous uveitis — a prospective randomized study

Uveal and capsular biocompatibility of two foldable acrylic intraocular lenses in patients with endogenous uveitis — a prospective randomized study

Long-term results of cataract extraction with intraocular lens implantation in patients with uveitis

Complications of cataract surgery

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