Assessment of visual outcome after cataract surgery in patients with uveitis

Okhravi, Narciss

doi:10.1016/s0161-6420(99)90155-0

Cited by 122 publications

(87 citation statements)

References 16 publications

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“…Therefore, most surgeons now favour phacoemulsification for the management of cataract following FHI (Estafanous et al, 2001) and (Okhravi et al, 1999). …”

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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“…Therefore, most surgeons now favour phacoemulsification for the management of cataract following FHI (Estafanous et al, 2001) and (Okhravi et al, 1999). …”

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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“…Comparando nossa amostra com estudos anteriores, podemos perceber que conseguimos um número bastante significativo, principalmente por estarmos analisando apenas as cirurgias através da técnica de facoemulsificação (1)(2)(6)(7) . De nosso conhecimento, esta é a maior casuística da literatura até o momento.…”

Section: Discussionunclassified

“…De nosso conhecimento, esta é a maior casuística da literatura até o momento. A média de idade de nosso estudo foi de 51,7 ± 15,8 anos (mediana de 52,4 anos; idade mínima de 15,5 e máxima de 85,6) e está compatível com a média de idade da literatura (2,(6)(7) . Verificamos que 80 pacientes (42,3%) eram do sexo masculino e 109 (57,7%) do sexo feminino.…”

Section: Discussionunclassified

“…Verificamos que 80 pacientes (42,3%) eram do sexo masculino e 109 (57,7%) do sexo feminino. O gênero em nosso estudo está compatível com a literatura, onde encontramos uma discreta prevalência do sexo feminino (1)(2)(6)(7) . Em nosso estudo, o tempo médio de acompanhamento entre a data da cirurgia e a última consulta pós-operatória foi de 3,9 ± 2,6 anos (mediana 3,4 anos).…”

Section: Discussionunclassified

“…Em nosso estudo, o tempo médio de acompanhamento entre a data da cirurgia e a última consulta pós-operatória foi de 3,9 ± 2,6 anos (mediana 3,4 anos). Comparando com a literatura, percebemos que nosso tempo médio de acompanhamento pós-operatório (40,8 meses) foi bastante significativo (2,7) . Quanto à classificação anatômica dos tipos de uveíte, encontramos 165 (68,18%) olhos com uveíte anterior, 17 (7%) com intermediária, 17 (7%) com posterior e 43 (17,76%) com difusa.…”

Section: Discussionunclassified

See 2 more Smart Citations

Extração da catarata pela técnica de facoemulsificação em pacientes com uveíte

Yamane¹,

Vianna²,

Cardoso³

et al. 2007

Arq. Bras. Oftalmol.

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Combined Posterior Chamber Intraocular Lens, Vitrectomy, Retisert, and Pars Plana Tube in Noninfectious Uveitis

Ahmad¹,

Hughes²,

Abrams³

et al. 2012

Arch Ophthalmol

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To assess the safety and efficacy of combined cataract extraction, posterior chamber intraocular lens placement, pars plana vitrectomy, fluocinolone acetonide intravitreal implant (Retisert), and Ahmed valves with pars plana tube (CPR-PT) in eyes with chronic, posterior, noninfectious uveitis. Methods: Retrospective study of patients who underwent CPR-PT. Outcome measures included visual acuity, intraocular pressure, inflammation, and complications. Results: Eight eyes were included, with a mean follow-up of 18 months. Mean visual acuity improved from 1.89 to 0.14 logMAR (Snellen, counting fingers at 2 ft [0.6 m]) to 20/30; P=.01). Mean intraocular pressure remained stable at 16 to 17 mm Hg (P =.35). The number of glaucoma medications per eye decreased from 2.9 to 0.25 (P =.01). Systemic prednisone therapy was discontinued in all patients by 9 months postoperatively. Inflammation was well controlled in all eyes. Conclusion: The CPR-PT procedure allows rapid visual rehabilitation without major short-term complications.

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Assessment of visual outcome after cataract surgery in patients with uveitis

Cited by 122 publications

References 16 publications

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

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

Extração da catarata pela técnica de facoemulsificação em pacientes com uveíte

Combined Posterior Chamber Intraocular Lens, Vitrectomy, Retisert, and Pars Plana Tube in Noninfectious Uveitis

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