CATARACT SURGERY IN UVEITIS PATIENTS
Abstract
Background. To present techniques and results of cataract surgery in uveitis patients.
Patients and methods. In this retrospective study, 10 patients (11 eyes) are presented with uveitic cataract of different etiology. The operations were performed between y. 1998 and 2000. All our patients had posterior synechiae of the iris, 4 of them secclusion of the pupil. Visual acuity and inflammation was noted before, 1 week and again 6 month after operation.
Results. Phacoemulsification and synechiolisis were performed in all our patients as well as foldable IOL inserted in all of them. Iris retractors were used in 3 patients and intracapsular tension ring in 2 patients. Mean visual acuity before the operation was 0.05, and 0.63 six months after the operation. In none, postoperative inflammation was greater than 1+. In one patient, reversible reactivation of the disease ensued later and one developed reversible cystoid macular edema. Both had subsided by 6 months.
Conclusions. The results of the cataract surgery with phacoemulsificaton in uveitis patients are good. Preoperative management, especially in the sense of controlling the inflammation, special surgical techniques, avoiding the excessive manipulation of the iris and postoperative care are very important.
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References
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