Cataract Surgery in Fuchs’ Heterochromic Iridocyclitis

Avramides, S; Sakkias, Georgios; Traianidis, P.

doi:10.1177/112067219700700205

Cited by 9 publications

(4 citation statements)

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“…Others have reported VA of 20/40 or better in 76% to 89% of patients with ECCE and a PC IOL. 19,23,25,28,32 Vitreous haze is the most common cause of postoperative visual impairment in FHIC and has been reported in 12% to 50% of cases. [24][25][26] In our study, 16 eyes (39%) had mild to moderate vitreous haze, which was the main cause of VA less than 20/20 in 13 patients.…”

Section: Discussionmentioning

confidence: 99%

“…26,[32][33][34] It is more common in patients with PMMA IOLs than in those with acrylic IOLs. 10,11 Hydrophilic acrylic IOLs have been successfully implanted in uveitis patients 12 ; however, AbelaFormanek et al 29 concluded that despite the better uveal biocompatibilty of the hydrophilic acrylic IOLs, they should not be recommended for cataract surgery in uveitic eyes because of early and accelerated development of PCO.…”

Section: Discussionmentioning

confidence: 99%

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Outcomes of phacoemulsification and in-the-bag intraocular lens implantation in Fuchs' heterochromic iridocyclitis

Javadi

Jafarinasab

Araghi

et al. 2005

Journal of Cataract and Refractive Surgery

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Outcomes of phacoemulsification and in-the-bag intraocular lens implantation in Fuchs' heterochromic iridocyclitis

Javadi

Jafarinasab

Araghi

et al. 2005

Journal of Cataract and Refractive Surgery

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“…The reported incidence of PCO in FHI varies from 20 % to 45 % (Sherwood et al, 1992), (Avramides et al, 1997) and (Guzak et al, 1987). Bhargava et al, 2013, report an incidence of 16.7 % 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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“…The rate of PCO in FHU patients has been reported to be 20%-45% (Figure 4) [20][21][22]. Javadi et al [8] did not detect clinically significant PCO in eyes with acrylic IOLs.…”

Section: Discussionmentioning

confidence: 99%

Phacoemulsification and Core Vitrectomy in Fuchs’ Heterochromic Uveitis

et al. 2017

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Objective: To evaluate the efficacy of phacoemulsification combined with posterior capsulorhexis, core vitrectomy and ciliary sulcus intraocular lens (IOL) implantation in patients with Fuchs' heterochromic uveitis (FHU). Materials and Methods:A total of 18 eyes of 18 patients with FHU underwent cataract surgery were included in the study. 18 eyes with FHU underwent posterior capsulorhexis, core vitrectomy and poly (methyl methacrylate) (PMMA) IOL implantation in the ciliary sulcus. Subjects were chosen for this procedure based on an intraoperative vitreous haziness assessment, performed by indirect ophthalmoscopy. Patients with +2 or more vitreous haziness qualified for this procedure.Results: Of the 83 eyes with FHU that underwent cataract surgery, 18 eyes (21.6%) of 18 patients were employed in the study. There were 11 (61.1%) men and 7 (38.9%) women in the study; ages ranged from 23 to 47, with a mean of 32.06 years. Follow-up ranged from 8 months to 49 months. There were no intraoperative complications except for peripheral iris bleeding in 7 eyes. There was no severe intraocular inflammation in any patient postoperatively. All patients had 0.05 or better logMAR visual acuity after corneal suture removal. Glaucoma developed in 2 patients. For the short term period, the main vision threatening problem was suture-induced astigmatism.Conclusion: Cataract surgery combined with posterior capsulorhexis, core vitrectomy and IOL implantation in the ciliary sulcus is safe and leads to good visual outcome due to the removal of the hazy vitreous in patients with FHU.Keywords: Phacoemulsification, Fuchs' heterochromic uveitis, core vitrectomy ÖZ Amaç: Bu çalışmada Fuchs' heterokromik üveiti (FHÜ) olan hastalarda arka kapsüloreksis, kor vitrektomi ve silier sulkusa intraoküler lens (İOL) implantasyonu ile kombine fakoemülsifikasyon cerrahisinin etkinliğini değerlendirmek amaçlanmıştır.Gereç ve Yöntem: Fuchs' heterokromik uveiti olan ve katarakt cerrahisi uygulanan 18 hastanın 18 gözü çalışmaya alındı. FHÜ olan 18 göze; arka kapsüloreksis, kor vitrektomi ve silier sulkusa polimetilmetakrilat (PMMA) İOL implantasyonu uygulandı. İntraoperatif, indirekt oftalmoskop ile vitreusta bulanıklık derecesi değerlendirilerek; +2 veya daha fazla vitreus bulanıklığı olan hastalar bu prosedüre dahil edildi.Bulgular: Fuchs' heterokromik üveiti olan ve katarakt cerrahisi uygulanan 83 gözün 18'i (%21,6) çalışmaya dahil edildi. 23 ile 47 yaş aralığında (ortalama 32.06 yıl) olan hastaların 11'i (%61,1) erkek, 7' si (%38,9) kadın idi. Hastaların takip süresi 8 ay ile 49 ay arasında değişmekteydi. 7 gözde gelişen iris periferinde kanama dışında; intraoperatif herhangi bir komplikasyon görülmedi. Hiçbir hastada postoperatif şiddetli intraoküler inflamasyon görülmedi. Korneal sütürler alındıktan sonra, tüm hastalar logMAR' a göre 0,05 veya daha iyi seviyede görme keskinliğine sahipti. 2 hastada glokom gelişti. Kısa dönemde görme seviyesini etkileyen ana problem sütüre bağlı astigmatizma idi.Sonuç: Fuchs' heterokromik uveiti olan hastala...

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Cataract Surgery in Fuchs’ Heterochromic Iridocyclitis

Abstract: Extracapsular cataract extraction in patients with Fuchs' heterochromic iridocyclitis does not currently present any difficulties compared with normal senile cataract. No major complications occurred and the final visual acuity was satisfactory.

Cited by 9 publications

References 4 publications

Outcomes of phacoemulsification and in-the-bag intraocular lens implantation in Fuchs' heterochromic iridocyclitis

Outcomes of phacoemulsification and in-the-bag intraocular lens implantation in Fuchs' heterochromic iridocyclitis

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

Phacoemulsification and Core Vitrectomy in Fuchs’ Heterochromic Uveitis

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