Cataract surgery in uveitis

Meier, F; Tuft, Stephen; Pavésio, Carlos

doi:10.1016/s0896-1549(02)00033-0

Cited by 22 publications

(13 citation statements)

References 63 publications

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“…Until the advent of corticosteroids in the early 1960s, ocular inflammation was difficult and often impossible to control, and articles discussing the results of cataract extraction in inflamed eyes reported a high incidence of severe complications [4, 6, 7, 10]. …”

Section: Historical Perspectivementioning

confidence: 99%

Cataract Surgery in Uveitis

Agrawal

Murthy

Ganesh³

et al. 2012

International Journal of Inflammation

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Cataract surgery in uveitic eyes is often challenging and can result in intraoperative and postoperative complications. Most uveitic patients enjoy good vision despite potentially sight-threatening complications, including cataract development. In those patients who develop cataracts, successful surgery stems from educated patient selection, careful surgical technique, and aggressive preoperative and postoperative control of inflammation. With improved understanding of the disease processes, pre- and perioperative control of inflammation, modern surgical techniques, availability of biocompatible intraocular lens material and design, surgical experience in performing complicated cataract surgeries, and efficient management of postoperative complications have led to much better outcome. Preoperative factors include proper patient selection and counseling and preoperative control of inflammation. Meticulous and careful cataract surgery in uveitic cataract is essential in optimizing the postoperative outcome. Management of postoperative complications, especially inflammation and glaucoma, earlier rather than later, has also contributed to improved outcomes. This manuscript is review of the existing literature and highlights the management pearls in tackling complicated cataract based on medline search of literature and experience of the authors.

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Section: Historical Perspectivementioning

confidence: 99%

Cataract Surgery in Uveitis

Agrawal

Murthy

Ganesh³

et al. 2012

International Journal of Inflammation

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“…Eyes with posterior uveitis require careful monitoring of the posterior segment before and after the surgery to establish the degree of prior permanent structural damage that uveitis may have caused such as retinal detachment, optic atrophy, vitreous opacity, cystoid macular edema, epiretinal membrane, and macular scar. These concurrent pathologies may limit the visual outcome therefore the patient should be informed before surgery if there is a guarded prognosis (15). In the present study although majority of the eyes showed improvement in BCVA, causes of poor vision were optic atrophy, macular atrophy, cystoid macular edema, epiretinal membrane, macular scar, amblyopia and hypotony due to probable complications of uveitis.…”

Section: Discussionmentioning

confidence: 47%

Laser Flare Photometric Evaluation of Cataract Surgery on Intraocular Inflammation in Uveitic Eyes

Oray¹,

Gözüm²,

Altınkurt³

et al. 2016

İst Tıp Fak D

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84.6) foton/ms değerlerinde idi. Cerrahi öncesi ile postoperatif 90. günlerde istatistiksel olarak anlamlı fark saptanmadı. Sonuç: İntraoküler inflamasyon objektif değerlendirmesinde kullanılan lazer flare fotometre ölçümü ve görme keskinliğinde gözlenen sonuçlara göre oküler inflamasyon cerrahi öncesi kontrol altına alınır ise intraoküler lens implantasyonu ile fakoemülsifikasyon cerrahisi üveitli gözlerde güvenli ve etkili bir yöntem olduğu gösterilmektedir.. Anahtar Kelimeler: Fakoemülsifikasyon; üveit; inflamasyon; aköz flare

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“…Oral and topical corticosteroids should be tapered based on clinical response postoperatively. Some specialists routinely inject subconjunctival betamethasone at the end of the case [2]. Improved control of uveitis may also result from injection of sub-Tenon's or intravitreal triamcinolone as well [9].…”

Section: Postoperative Managementmentioning

confidence: 99%

“…A number of studies have examined outcome of phacoemulsification in patients with uveitis (reviewed in [1,2]). Many of these studies, however, had short follow-up times.…”

Section: Outcomes Of Cataract Surgery In Uveitic Patientsmentioning

confidence: 99%