Phacoemulsification with intraocular lens implantation in patients with uveitis

Ram, Jagat; Gupta, Amod; Kumar, Sunil; Kaushik, Sushmita; Gupta, Nishant; Severia, Sourabh

doi:10.1016/j.jcrs.2010.02.019

Cited by 65 publications

(42 citation statements)

References 25 publications

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“…However, modern surgical techniques allows for IOL placement in well selected cases. A retrospective series of 108 eyes with various causes of uveitis demonstrated a 21% incidence of clinical PCME, with 74% achieving final visual acuity of 20/40 or better [16]. In a prospective cohort of 41 eyes with uveitis and 52 without uveitis, Belair et al [4] demonstrated that the incidence of PCME on OCT at 3 months postoperatively was 8 and 0%, respectively (P ¼ 0.08).…”

Section: Risk Factorsmentioning

confidence: 98%

Pseudophakic cystoid macular edema

Yonekawa

Kim

2012

Current Opinion in Ophthalmology

189

126

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Section: Risk Factorsmentioning

confidence: 98%

Pseudophakic cystoid macular edema

Yonekawa

Kim

2012

Current Opinion in Ophthalmology

189

126

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“…Ram et al, 2010, report an incidence of macular edema of 21.3 % and Estafanous et al, 2001, reported one of 33 % following phacoemulsification. Bhargava et al, 2013, report an incidence of 14.8 % following manual SICS in patients with uveitis.…”

Section: Complicationsmentioning

confidence: 99%

Small-incision cataract surgery in patients with Fuch’s heterochromic iridocyclitis

Bhargava

Kumar

Sharma³

et al. 2014

Nep J Oph

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Introduction: Fuch's heterochromic iridocyclitis (FHI) is often complicated by cataract formation. Objective: To assess the results of small-incision cataract surgery (SICS) in FHI and to study the effect of preoperative factors on postoperative vision. Materials and methods: Sixty-three eyes of 59 patients with Fuchs heterochromic iridocyclitis who had SICS with in-the-bag implantation of intraocular lens (IOL) were evaluated retrospectively; and the primary and secondary outcome measures evaluated were the postoperative vision and complication rate. Results: The mean age was 39.22 ± 4.95 years. The mean pre-operative vision was 0.75 ± 0.24 Log MAR units. The mean final vision was 0.27 ± 0.10 Log MAR units (P = < 0.001). At the final follow-up, 84.1 % of the patients had a final Snellen's vision of 6/12 or better. The mean follow-up period was 12.06 ± 2.06 months. The causes of corrected distance visual acuity (CDVA) worse than 6/60 were vitreous opacities, posterior keratic precipitates (KPs), glaucoma, persistent uveitis and cystoid macular edema (CME). Preoperative factors like iris atrophy (P = 0.973), heterochromia (P = 0.10) and vessels in angle (P = 0.074) did not have a significant effect on the final vision. On the contrary, vitreous opacities (P = 0.002) and posterior KPs (P = 0.009) had a significant effect on the final visual outcome. Conclusion: SICS with in-the-bag implantation of IOL in patients with Fuch's heterochromic iridocyclitis resulted in good visual outcomes. SICS in complicated cataracts can be performed in rural settings and eye camps with minimal instrumentation, obviating the need for referral to tertiary care centres. Pre-operative factors like vitreous opacities and posterior KPs have a significant effect on the final vision.

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“…Pro-inflammatory molecules such as plasma phospholipids, interleukins, phospholipases, and cytokines can cause an increase in the lens epithelial permeability and development of cataract [3]. Among patients with uveitic cataract, performing cataract surgery is a challenge due to related complications like recurrent uveitis, raised intraocular pressure or hypotony, small pupil, and posterior synechiae, among others [4,5]. Cataract surgery in patients with uveitis may lead to postoperative flare up of inflammation and macular edema leading to a suboptimal visual outcome.…”

Section: Editorialmentioning

confidence: 99%