Phacoemulsification with primary implantation of an intraocular lens in patients with uveitis

Pålsson, Sara; Grönlund, Marita Andersson; Škiljić, Dragana; Zetterberg, Madeleine

doi:10.2147/opth.s143886

Cited by 15 publications

(28 citation statements)

References 20 publications

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“…In a metaanalysis, it was suggested that majority of uveitic cataract cases reach normal or near-normal visual acuity after cataract surgery but not as frequent as non-uveitic ager related cataract cases [10]. Several studies have also noted that eyes with well-controlled uveitis had favorable outcomes [3,5,13,40].…”

Section: Intraocular Pressure and Glaucomamentioning

confidence: 99%

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Phacoemulsification in patients with uveitis: long-term outcomes

et al. 2020

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Background: To assess the long-term outcomes of phacoemulsification and intraocular lens (IOL) implantation in eyes with uveitis. Methods: One hundred and five eyes of 81 patients, who underwent phacoemulsification and IOL implantation between January 2009 and July 2016, were included in this study. The demographic data, preoperative clinical findings, postoperative outcomes, and intraoperative and postoperative complications were recorded. All collected data and risk factors with regard to visual prognosis were analyzed with the help of the Statistical Package for the Social Sciences version 20.0 software program (IBM Corp., Armonk, NY, USA). Results: During follow-up (mean: 35.2 ± 22.2 months), corrected distance visual acuity (CDVA) improved in 87.7% of all eyes and reached a level of 0.3 LogMAR or greater in 61.3% of eyes. Postoperative complications included posterior capsule opacification (50.9%), posterior synechiae (21.7%), cystoid macular edema (16%), epiretinal membrane (13.2%), glaucoma (11.3%), increased intraocular pressure (8.5%), and severe inflammation (6.6%). Uveitis recurred in 55.7% of all eyes. The risk for the development of cystoid macular edema was found to be associated with recurrence in the early postoperative period. Low visual acuity risk was 11.1-fold higher with macular scarring (p = 0.001) and 14-fold higher with optic atrophy (p < 0.001), respectively. Conclusions: With appropriate management during the pre-and postoperative periods, phacoemulsification and IOL implantation surgery can be safe and effective in eyes with uveitis. However, great caution must be taken to prevent complications both before and after the surgery.

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Section: Intraocular Pressure and Glaucomamentioning

confidence: 99%

“…One of the most frequent complications that occur in patients with uveitis is cataract formation. Cataract may arise due to the inflammation itself or as a result of corticosteroid treatments [3].…”

Section: Introductionmentioning

confidence: 99%

Phacoemulsification in patients with uveitis: long-term outcomes

et al. 2020

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“…After surgery, transient rising of intraocular pressure was noticed in 4 eyes (10,81%) more frequent than in non-uveitis patients, estimated at 0,5% [ 2 ]. Prolonged postoperative inflammation (more than 14 days) was present in 3 eyes.…”

Section: Resultsmentioning

confidence: 99%

“…Surgical management of complicated cataract after anterior uveitis needs additional actions, especially for achieving and maintaining a good mydriasis [ 4 ] or for a good stabilization of the intraocular lens. Posterior capsule opacification is the most frequent issue in these patients [ 2 , 5 ]. Cystoid macular edema occurs after surgery in the patients who suffered posterior capsule rupture (accidentally or by Nd-YAG laser capsulotomy); some authors state that perioperative systemic therapy is protective against those complications [ 6 , 7 ].…”

Section: Discussionmentioning

confidence: 99%

“…Prolonged eye inflammation after surgery is relatively rare, especially if heparin-surface-modified intraocular lenses are implanted [ 8 ]. Postoperative rising of intraocular pressure can occur frequently in these patients [ 2 , 9 ]. Good preoperative and postoperative control of inflammation plays an important role in achieving favorable visual outcomes [ 9 , 10 ].…”

Section: Discussionmentioning

confidence: 99%

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Phacoemulsification in adult patients with post-uveitis complicated cataract

Macarie

Macarie²

2018

rjo

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Objective: To evaluate the difficulties, complications and outcome of cataract surgery in patients with complicated cataract after anterior uveitis. Methods: A retrospective study on 37 patients who suffered phacoemulsification surgery for post-uveitis complicated cataract in the period 2009–2014 was performed. 43 eyes underwent surgery.Results: Posterior synechiae were present in 25 eyes. Posterior synechiolysis ensured large pupil in 15 eyes, and, in 14 eyes, the use of iris hooks or pupil expansion ring was necessary for surgery. Posterior capsule rupture was reported in 1 eye. Opacified and thick posterior capsule was noticed in 6 eyes. After surgery, transient rising of intraocular pressure was noticed in 4 eyes and prolonged postoperative inflammation was present in 3 eyes. Posterior capsule opacification was the most frequent issue (9 eyes) and cystoid macular oedema was reported in 2 eyes. Conclusions: Post-uveitis complicated cataract surgery presents specific difficulties and postoperative complications are present in these patients, like prolonged postoperative inflammation and cystoid macular oedema.

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