Ten-year retrospective review of outcomes following phacoemulsification with intraocular lens implantation in patients with pre-existing uveitis

Chiu, Houn-Lin; Dang, Harry; Cheung, Crystal S. Y.; D, Khosla; Arjmand, Parnian; Rabinovitch, Theodore; Derzko-Dzulynsky, Larissa

doi:10.1016/j.jcjo.2016.10.007

Cited by 25 publications

(15 citation statements)

References 12 publications

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“…Surgical management of complicated cataract after anterior uveitis needs additional actions, especially for achieving and maintaining a good mydriasis [ 4 ] or for a good stabilization of the intraocular lens. Posterior capsule opacification is the most frequent issue in these patients [ 2 , 5 ]. Cystoid macular edema occurs after surgery in the patients who suffered posterior capsule rupture (accidentally or by Nd-YAG laser capsulotomy); some authors state that perioperative systemic therapy is protective against those complications [ 6 , 7 ].…”

Section: Discussionmentioning

confidence: 99%

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%

Phacoemulsification in adult patients with post-uveitis complicated cataract

Macarie

Macarie²

2018

rjo

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“…Although a visual gain of two lines was achieved in 60% of all eyes, only four achieved a visual acuity of 20/40 or better. More favorable results have already been reported [ 6 , 7 , 9 ]. However, a closer look indicates that amblyopia and macular edema were among the most frequent causes to explain this outcome.…”

mentioning

confidence: 85%

“…It is now mainly agreed that an IOL can be safely implanted in Fuchs uveitic and idiopathic nongranulomatous eyes, whereas moderate success might be expected, e.g. in Behcets disease and HLA-B27 associated uveitis, still the most critical patients remain young children with juvenile idiopathic arthritis [ 6 – 9 ]. It is uncertain, however, which type of IOL provides the best visual outcome in uveitic eyes [ 10 ].…”

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confidence: 99%

Challenges with cataract surgery in pars planitis patients

Grzybowski¹,

Kanclerz

Pleyer

2017

Graefes Arch Clin Exp Ophthalmol

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“…Concerning other potential risk factors for occurrence of PCO, uveitis of any subtype has been regarded as a prominent risk factor in which approximately 20 percent of patients with uveitis develop PCO within 1 year [7, 8]. On the other hand, diabetes mellitus (DM) was demonstrated as a protective factor for PCO with a significant lower rate [9].…”

Section: Introductionmentioning

confidence: 99%

Risk factors for the occurrence of visual-threatening posterior capsule opacification

et al. 2019

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Background To evaluate the potential risk factor of visual-threatening posterior capsule opacification (PCO) via the analysis of National Health Insurance Research Database in Taiwan. Patients and methods A total of 8571 patients (3767 male and 4804 female) were recruited in the study group and 17,142 patients (7534 male and 9608 female) in the control group. Patients undergoing cataract surgery, acrysof single-piece intraocular lens implantation and Nd:YAG capsulotomy were selected as the study group. After exclusion which aimed to standardize the ocular condition and exclude the possibility that patients undergoing cataract surgery and Nd:YAG capsulotomy in different eyes, each patient in the study group was age-gender matched to two patients undergoing cataract surgery but without Nd:YAG capsulotomy. The demographic data, systemic disease, and ocular co-morbidities were obtained and analyzed. Adjusted odds ratio (OR) of each demographic data and co-morbidities to the development of visual-threatening PCO, and adjusted OR of co-morbidities to visual-threatening PCO develop within 1 year postoperatively. Results The dry eye disease (DED), glaucoma, uveitis, age-related macular degeneration (AMD), hyperlipidemia, peptic ulcer disease and liver disease showed significant crude OR while the DED, glaucoma, AMD, hyperlipidemia and peptic ulcer disease revealed a significant adjusted OR. In the subgroup analysis, the DED, glaucoma, AMD, and hyperlipidemia still illustrated a higher adjusted OR to develop visual-threatening PCO within 1 year after the cataract surgery. Conclusion The DED, glaucoma, AMD, hyperlipidemia and peptic ulcer disease may serve as the risk factor for the developing of visual-threatening PCO.

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Ten-year retrospective review of outcomes following phacoemulsification with intraocular lens implantation in patients with pre-existing uveitis

Cited by 25 publications

References 12 publications

Phacoemulsification in adult patients with post-uveitis complicated cataract

Phacoemulsification in adult patients with post-uveitis complicated cataract

Challenges with cataract surgery in pars planitis patients

Risk factors for the occurrence of visual-threatening posterior capsule opacification

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