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Phacoemulsification with primary implantation of an intraocular lens in patients with uveitis
PURPOSE: To evaluate the outcome of cataract surgery in adult patients with uveitis. MATERIALS AND METHODS: In this retrospective cohort study, medical charts of patients with uveitis and matched control patients without uveitis who underwent cataract surgery at the Eye Clinic, Sahlgrenska Universit...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Dove Medical Press
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5572992/ https://www.ncbi.nlm.nih.gov/pubmed/28860705 http://dx.doi.org/10.2147/OPTH.S143886 |
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author | Pålsson, Sara Andersson Grönlund, Marita Skiljic, Dragana Zetterberg, Madeleine |
author_facet | Pålsson, Sara Andersson Grönlund, Marita Skiljic, Dragana Zetterberg, Madeleine |
author_sort | Pålsson, Sara |
collection | PubMed |
description | PURPOSE: To evaluate the outcome of cataract surgery in adult patients with uveitis. MATERIALS AND METHODS: In this retrospective cohort study, medical charts of patients with uveitis and matched control patients without uveitis who underwent cataract surgery at the Eye Clinic, Sahlgrenska University Hospital, Mölndal, between January 2005 and December 2009 were analyzed. RESULTS: The study included 58 eyes with and 283 eyes without uveitis. The most common etiologies were idiopathic anterior uveitis and Fuchs’ heterochromic uveitis. Postoperative visual acuity at 4 weeks was ≥0.5 decimal (0.3 logMAR) in 48 eyes with uveitis (87.3%) compared to 180 non-uveitic eyes (86.1%). Four eyes with uveitis (7.1%) and one eye without uveitis (0.5%) developed postoperative intraocular hypertension/glaucoma. Posterior capsule opacification developed in 11 eyes (19.0%) with and 28 eyes (12.4%) without uveitis. CONCLUSION: With appropriate perioperative anti-inflammatory regimen and surveillance, modern cataract surgery using phacoemulsification and primary intraocular lens implantation can be performed in patients with uveitis without greater risk of complications, yielding similar visual outcome as in patients without uveitis. |
format | Online Article Text |
id | pubmed-5572992 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Dove Medical Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-55729922017-08-31 Phacoemulsification with primary implantation of an intraocular lens in patients with uveitis Pålsson, Sara Andersson Grönlund, Marita Skiljic, Dragana Zetterberg, Madeleine Clin Ophthalmol Original Research PURPOSE: To evaluate the outcome of cataract surgery in adult patients with uveitis. MATERIALS AND METHODS: In this retrospective cohort study, medical charts of patients with uveitis and matched control patients without uveitis who underwent cataract surgery at the Eye Clinic, Sahlgrenska University Hospital, Mölndal, between January 2005 and December 2009 were analyzed. RESULTS: The study included 58 eyes with and 283 eyes without uveitis. The most common etiologies were idiopathic anterior uveitis and Fuchs’ heterochromic uveitis. Postoperative visual acuity at 4 weeks was ≥0.5 decimal (0.3 logMAR) in 48 eyes with uveitis (87.3%) compared to 180 non-uveitic eyes (86.1%). Four eyes with uveitis (7.1%) and one eye without uveitis (0.5%) developed postoperative intraocular hypertension/glaucoma. Posterior capsule opacification developed in 11 eyes (19.0%) with and 28 eyes (12.4%) without uveitis. CONCLUSION: With appropriate perioperative anti-inflammatory regimen and surveillance, modern cataract surgery using phacoemulsification and primary intraocular lens implantation can be performed in patients with uveitis without greater risk of complications, yielding similar visual outcome as in patients without uveitis. Dove Medical Press 2017-08-22 /pmc/articles/PMC5572992/ /pubmed/28860705 http://dx.doi.org/10.2147/OPTH.S143886 Text en © 2017 Pålsson et al. This work is published and licensed by Dove Medical Press Limited The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. |
spellingShingle | Original Research Pålsson, Sara Andersson Grönlund, Marita Skiljic, Dragana Zetterberg, Madeleine Phacoemulsification with primary implantation of an intraocular lens in patients with uveitis |
title | Phacoemulsification with primary implantation of an intraocular lens in patients with uveitis |
title_full | Phacoemulsification with primary implantation of an intraocular lens in patients with uveitis |
title_fullStr | Phacoemulsification with primary implantation of an intraocular lens in patients with uveitis |
title_full_unstemmed | Phacoemulsification with primary implantation of an intraocular lens in patients with uveitis |
title_short | Phacoemulsification with primary implantation of an intraocular lens in patients with uveitis |
title_sort | phacoemulsification with primary implantation of an intraocular lens in patients with uveitis |
topic | Original Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5572992/ https://www.ncbi.nlm.nih.gov/pubmed/28860705 http://dx.doi.org/10.2147/OPTH.S143886 |
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