Cataract surgery with primary intraocular lens implantation in children with uveitis: Long-term outcomes

Abstract

No author has a financial or proprietary interest in any material or method mentioned.

Cataract Surgery with Primary Lens Implantation in Children with Chronic Uveitis

“…1,5,[7][8][9]15,16,[19][20][21][22][23][24] The use of immunosuppressive agents allows a faster tapering of postoperative corticosteroids. Under these conditions and in selected patients, primary implantation with a foldable acrylic implant is possible and allows visual improvement.…”

“…1,5,[8][9][10] Uncontrolled, perioperative inflammation can lead to major complications, such as posterior synechiae, 11 posterior capsule opacification, 1,9,[11][12][13][14][15][16][17][18] cell proliferation on the intraocular lens (IOL), 9,11 Elschnig pearls, 9,15,16 secondary glaucoma, 1,9,11,[13][14][15]17,18 macular edema, 1,9,11,[13][14][15] and retinal detachment. 14 Various strategies have been tested and are still controversial, including eye left aphakic, 16 pars plana approach, 16 primary PMMA IOL implantation with or without heparin coating, 9 and use of foldable acrylic IOL. 1,11,12,14,15,19,20 Uveitis is no longer an absolute contraindication of IOL implantation; 14 nevertheless, it should be perfor...…”

“…1,11,12,14,15,19,20 Uveitis is no longer an absolute contraindication of IOL implantation; 14 nevertheless, it should be performed on selected patients and indications still need to be clarified. Perioperative management has strongly evolved over recent years, especially regarding the use of immunosuppressive drugs, 1,9,11,15,[19][20][21] but this management has not yet been standardized.…”

“…9 The objective of this study was to evaluate the evolution of chronic uveitis in children after cataract surgery with primary posterior chamber foldable acrylic IOL implantation and to analyze perioperative therapies.…”

Long-term safety and visual outcomes of anterior chamber intraocular lens implantation in patients with a history of chronic uveitis

“…[4][5][6] Favorable visual outcomes without a significant incidence of postoperative complications have been widely documented in multiple studies [7][8][9] in the absence of perioperative inflammation. [10][11][12] Before the development of new antiinflammatory therapies, IOL placement in such eyes had a higher risk for worsening or a relapse of intraocular inflammation, 13 deposits on the IOL, and development of recurrent IOL membranes.…”