CATARACT SURGERY IN PATIENTS WITH HISTORY OF UVEITIS - MEDIUM TERM FUNCTIONAL OUTCOMES
Abstract
Aim: Evaluating the functional outcomes in patients with history of uveitis who previously underwent cataract surgery during 2009-2019, analysis of the best postoperative visual acuity and IOP after first day, one month, 3 months and last postoperative. Material and methods: Comparative/retrospective study which included cataract surgery patients with a history of uveitis evaluated between January 2009 and December 2019 in Iaşi, Department of Ophthalmology, “Sf. Spiridon” County Clinical Emergency Hospital. The study included a number of 102 eyes divided into two groups: 59 eyes from 51 patients (25 women and 26 men) the cataract and uveitis group (study group) and 43 cataract eyes (control group). All patients had cataract surgery performed by phacoemulsification and IOL-PC implantation, while the pre- and postoperative evaluation was performed according to a standardized protocol. The database was built in the EXCEL program and was statistically processed with the SPSS 18.0 program. Postoperative follow-up was performed at 1 day, 1 month, 3 months and last postoperative follow up (six month). Results: The average age of patients of the 2 groups was 65 years. In all cases, preoperative topical steroid anti-inflammatory treatment was administered for 1 week and postoperatively, for 6 weeks. General anti-inflammatory steroids (CSR) were administered preoperatively and postoperatively in 9 patients with intermediate or posterior uveitis for 8 weeks. In two cases a capsular tension ring was used to stabilize the bag. One case required ECCE + placement of IOL in the sulcus. Only one case required IOL explantation due to severe inflammation. Among the postoperative complications, the inflammatory glaucoma and recurrent uveitis predominated. Conclusions: Cataract surgery with IOL implantation resulted in improved postoperative visual acuity in patients with cataract and uveitis, which was maintained at the last follow-up. In the immediate postoperative period, both groups had similar functional results.
References
2. Mehta S, Linton MM, Kempen JH. Outcomes of Cataract Surgery in Patients with Uveitis: A System-atic Review and Meta-analysis. Am J Ophthalmol 2014; 158: 676-692.
3. Chan NS, Ti SE, Chee SP. Decision-making and management of uveitic cataract. Indian J Ophthalmol 2017; 65(12): 1329-1339.
4. Reddy AK, Patnaik JL, Miller DC, Lynch AM, Palestine AG, Pantcheva MB. Risk factors associated with persistent anterior uveitis after cataract surgery. Am J Ophthalmol 2019; 206: 82-86.
5. Hooper PL, Rao N, Smith RE. Cataract Extraction in Uveitis Patients. Surv Ophthalmol 1990; 35(2): 120-144.
6. Baheti U, Siddique SS, Foster CS. Cataract surgery in patients with history of uveitis. Saudi J Oph-thalmol 2012; 26: 55-60.
7. Chu CJ, Dick AD, Johnston RL, Yang YC, Denniston AK. Cataract surgery in uveitis: a multicenter database study. Br J Ophthalmol 2017; 101: 1132-1137.
8. Rodriguez-Garcia A, Foster CS. Cataract Surgery in Patients with Uveitis: Preoperative and Surgical Considerations. Difficulties in Cataract. UK: Intechopen 2017: 1-28 / doi: 10.5772/intechopen.71031.
9. Zhang Y, Zhu X, He W, Jiang Y, Lu Y. Efficacy of cataract surgery in patients with uveitis. Medicine 2017; 96(30): e7353.
10. Hecht I; Karesvuo P, Achiron A, Elbaz U, Laine I, Tuuminen R. Anti-inflammatory medication after cataract surgery and posterior capsular opacification. Am J Ophthalmol 2020; 215: 104-111.
11. Albini TA, Bodaghi B, Dunn JP, Goldstein DA, Levinson RD, Pavesio CE. Uveitis and Cataract surgery. AAO and Preferred Practice Pattern. American Academy of Ophthalmology, San Francisco, California, 2013.
12. Yan JI, Ke Hu, Can Li, Pinghua Li, et al. Outcome and Prognostic Factors of Phacoemulsification Cataract Surgery in Vogt Koyanagi-Harada Uveitis. Am J Ophthalmol 2018; 196: 121-128.
13. de Boer J, Wulffraat N, Rothova A. Visual loss in uveitis of childhood. Br J Ophthalmol 2002; 87: 879-884.
14. Belair ML, Kim SJ, Thorne JE, et al. Incidence of Cystoid Macular Edema after Cataract Surgery in Patients with and without Uveitis Using Optical Coherence Tomography. Am J Ophthalmol 2009; 148: 128 -135.
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