Outcomes of phacoemulsification in patients with uveitis at a tertiary center in
            São Paulo, Brazil: a review of cases from 2007 to 2012

Cerqueira, Patricia M.; Silva, Felipe T. B. Gaspar C. da; Carricondo, Pedro Carlos; Olivalves, Edilberto; Hirata, Carlos Eduardo; Yamamoto, Jiro

doi:10.5935/0004-2749.20170025

Cited by 9 publications

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“…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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Section: Discussionmentioning

confidence: 99%

“…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 ]. Visual outcome is generally good, but poorer than in non-uveitis eyes [ 11 ].…”

Section: Discussionmentioning

confidence: 99%

Phacoemulsification in adult patients with post-uveitis complicated cataract

Macarie

Macarie²

2018

rjo

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“…Recently, several studies have demonstrated the safety and efficacy of IOL implantation at the time of surgery in patients with uveitis with a low risk of complications, as long as the inflammation is well controlled. [ 41 42 43 44 45 ] However, in patients with chronic uncontrolled uveitis such as JIA uveitis, IOL implantation should be deferred. Alió et al .…”

Section: Ntraoperative C Onsiderationsmentioning

confidence: 99%

New insights into cataract surgery in patients with uveitis

Al-Essa

Alfawaz

2022

Saudi Journal of Ophthalmology

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Cataract is a common cause of visual impairment in uveitic eyes. The management of cataract in patients with uveitis is often challenging due to pre-existing ocular comorbidities that may limit the visual outcomes. A meticulous preoperative ophthalmic evaluation is needed to assess the concomitant ocular pathologies with special emphasis on the status of the macula and optic nerve. Preoperative control of inflammation for at least 3 months before surgery is a key prognostic factor for successful surgical outcomes. Perioperative use of systemic and topical corticosteroids along with other immunosuppressive medications is crucial to decrease the risk of postoperative inflammation and cystoid macular edema (CME). Phacoemulsification with intraocular lens implantation is the surgical option of choice for most patients with uveitic cataract. Uveitic cataracts are typically complicated by the presence of posterior synechiae and poor pupil dilation, necessitating manual stretching maneuvers or pupil expansion devices to dilate the pupil intraoperatively. Patients must be closely monitored for postoperative complications such as excessive postoperative inflammation, CME, raised intraocular pressure, hypotony, and other complications. Good outcomes can be achieved in uveitic eyes after cataract extraction with appropriate handling of perioperative inflammation.

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“…Moorthy e colaboradores (190) relataram que 68% dos 19 olhos submetidos à cirurgia de catarata evoluíram com uma acuidade visual de 20/40 ou melhor. Cerqueira e colaboradores (191) avaliaram os resultados da facectomia em pacientes com uveíte em um hospital terciário.…”

Section: Complicaçõesunclassified

“…Foram avaliados 45 olhos de 38 pacientes, dos quais nove olhos eram de pacientes portadores da DVKH. A maioria dos olhos pós-facectomia apresentou melhora de acuidade visual em relação ao quadro inicial (191) .…”

Section: Complicaçõesunclassified

Análise multimodal e eletrofisiológica de pacientes na fase aguda da doença de Vogt-Koyanagi-Harada tratados prospectivamente com corticoterapia e imunossupressão precoce em um seguimento de 24 meses

Lavezzo¹

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Dedico esta tese a minha família! A meus pais Wagner e Otávia que me apresentaram à Universidade, desde criança, quando acompanhava seus projetos na Fazenda Experimental Lageado -UNESP, Campus de Botucatu. Obrigado por terem me proporcionado um de meus maiores bens: a educação! Obrigado pelo carinho, amor, ensinamentos, confiança, valores de respeito, dignidade e honestidade e pelo exemplo de seres humanos que são! Sem vocês, nada disso seria possível. Minha admiração eterna... A minha noiva, Caroline Midori, que se uniu a mim nesta empreitada quando o Doutorado já estava em andamento.Companheira de todas as horas, você me faz ser uma pessoa melhor! Obrigado pelo amor, carinho, compreensão, paciência, palavras de encorajamento e pelo apoio incondicional nos momentos difíceis. Você foi minha maior incentivadora para concluir este projeto e atingir meus objetivos! A meu irmão Rafael, obrigado pela sua amizade, carinho, estímulo e companheirismo, ao longo de todos estes anos! A minha cunhada Daniela, as minhas sobrinhas Sofia e Laura e à família Takigami, obrigado pelo desvelo, incentivo, momentos felizes e pelas palavras de apoio. AGRADECIMENTOSÀ Dra. Joyce Hisae Yamamoto Takiuti, exemplo de orientadora, sempre presente, dedicada, modesta, que prima pelo rigor técnico, conhecimento, competência, perfeccionismo, disciplina, ética e trabalho metódico. Sua busca incansável pelo academicismo merece total reconhecimento. Obrigado pela convivência e pelos ensinamentos inestimáveis, ao longo destes anos de Pós-Graduação.Ao Dr. Carlos Eduardo Hirata, pelas inúmeras contribuições e sugestões pertinentes e construtivas, feitas durante o desenvolvimento desta tese. À Dra. Maria Kiyoko Oyamada, pela paciência durante meu aprendizado das técnicas para realização dos exames de eletrorretinograma e também pelo constante auxílio na interpretação dos mesmos e na análise crítica dos trabalhos derivados desta tese.

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Outcomes of phacoemulsification in patients with uveitis at a tertiary center in São Paulo, Brazil: a review of cases from 2007 to 2012

Cited by 9 publications

References 0 publications

Phacoemulsification in adult patients with post-uveitis complicated cataract

Phacoemulsification in adult patients with post-uveitis complicated cataract

New insights into cataract surgery in patients with uveitis

Análise multimodal e eletrofisiológica de pacientes na fase aguda da doença de Vogt-Koyanagi-Harada tratados prospectivamente com corticoterapia e imunossupressão precoce em um seguimento de 24 meses

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