Long-term follow-up of extracapsular cataract extraction and posterior chamber intraocular lens implantation in patients with uveitis

Krishna, R. Hari

doi:10.1016/s0161-6420(98)99051-0

Cited by 75 publications

(56 citation statements)

References 20 publications

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“…28 As shown in Figure 1 these predominantly high visual acuities have been maintained over a mean of 7 years 7 months. A scrutiny of those 14 eyes (19.4% of cohort) with a current VA of 6/18 or worse (Table 3) shows that eight have deteriorated in acuity over the follow-up period; four because of postinflammatory or postCMO macular scarring or ERM formation, one with chronic CMO, two because of glaucoma (one enucleated), and one amblyopic eye with posterior capsule and vitreous opacification.…”

Section: Discussionmentioning

confidence: 73%

“…In contrast, using angiography on a group of patients with uveitis, Krishna et al 28 reported an incidence of 56%. Notwithstanding the accuracy imparted by angiography, this difference is large and may in part be explained by casemix differences, especially by our inclusion of patients with FHU.…”

Section: Discussionmentioning

confidence: 94%

“…There is now a considerable literature on the shortterm viability of IOLs in high-risk eyes 28 and the early pathological effects of implantation have been well described. 33,34 Using stringent perioperative control of inflammation, short-term viability has been good.…”

Section: Discussionmentioning

confidence: 99%

“…27 Most previous reports of the results of extracapsular cataract extraction (ECCE) or phacoemulsification with IOL implantation have followed up patients for 2 years or less, and information on the longer term is sparse. 28 To our knowledge, no previous study has followed a substantial cohort for 5 years or more. We report the long-term follow-up of cataract extraction and IOL implantation performed by a single surgeon on patients with uveitis attending a regional tertiary referral uveitis clinic.…”

Section: Introductionmentioning

confidence: 99%

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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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Section: Discussionmentioning

confidence: 73%

Section: Discussionmentioning

confidence: 94%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

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

Rahman

Jones

2004

Eye

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“…In addition to diabetes, uveitis is also a significant pre-operative condition predisposing to CME. The rates reported in the literature may reach 56% while in most case it is recurrent (Krishna et al, 1998;Estafanous et al, 2001).). For this reason a careful selection of patients with uveitis has been suggested as a way to decrease the frequency of postoperative CME development (Suresh et al, 2001).…”

Section: Incidence Epidemiology Risk Factorsmentioning

confidence: 98%