Phacoemulsification with intraocular lens implantation in patients with uveitis

Détails

ID Serval
serval:BIB_EEC39D7C1CDF
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Phacoemulsification with intraocular lens implantation in patients with uveitis
Périodique
Klinische Monatsblatter fur Augenheilkunde
Auteur(s)
Moschos  M. M., Bui  M. A., Guex-Crosier  Y.
ISSN
0023-2165 (Print)
Statut éditorial
Publié
Date de publication
05/2004
Volume
221
Numéro
5
Pages
324-7
Notes
Journal Article --- Old month value: May
Résumé
BACKGROUND: Cataract remains a challenge for ophthalmologists in uveitic eyes. The aim of this study is to report the clinical course of phacoemulsification with intraocular lens implantation in eyes suffering from uveitis. PATIENTS AND METHODS: Patients presenting a uveitis were prospectively followed from June 2001 to June 2003. Ocular surgery was performed according to a standard protocol, autoimmune follow-up visits were focused on the early detection of complications of uveitis: increased ocular inflammation, synechiae, retraction of the rhexis, opacification of the posterior capsule or onset of cystoid macular edema. RESULTS: Thirty-two eyes of 24 patients suffering from uveitis were operated with cataract surgery between June 2001 and June 2003. The mean age at surgery was 56 years (range 24 - 86 years). Mean preoperative visual acuity in uveitis patients presenting cataract was 0.3 +/- 0.3, and final visual acuity was 0.8 +/- 0.3. Three patients presented minor postoperative complications. One patient had a cystoid macular edema that appeared 5 months after surgery and one patient had a relapse of herpetic dendritic keratopathy despite topical antiviral therapy combined with steroid drops. The latter presented a slight increase of intraocular pressure (24 mm Hg). CONCLUSIONS: In patients with uveitis requiring cataract surgery, intraocular lens implantation is safe. Visual prognosis is better when pre- and postoperative inflammation is minimized. Macular scars or other retinal lesions are poor prognostic indicators.
Mots-clé
Adult Aged Aged, 80 and over Female Follow-Up Studies Humans *Lenses, Intraocular Male Middle Aged *Phacoemulsification Postoperative Complications/*diagnosis Prognosis Prospective Studies Risk Factors Uveitis/diagnosis/*surgery Visual Acuity
Pubmed
Web of science
Création de la notice
28/01/2008 13:45
Dernière modification de la notice
03/03/2018 22:33
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