Original scientific paper
Postoperative Outcomes after Implantation of Intraocular Lenses in Eyes with Cataract and Uveitis
Zdravko Mandić
Ivanka Petric
Goran Benčić
Zoran Vatavuk
Lovro Bojić
Abstract
Despite advances in surgical technique and implant materials, cataract surgery in patients with uveitis is still a
challenging procedure. We retrospectively evaluated postoperative outcomes of cataract surgery in 35 eyes of 29 patients
with uveitis. Phacoemulsification with posterior chamber intraocular lens implantation was performed in all
eyes. Postoperative evaluations were performed at day 2, and then at 7 days, 1, 3, and 6 months respectively. There
were 16 males, and 13 females, aged 31 to 68 years. Follow-up ranged from 4 to 35 months. At final follow-up 33 eyes
(94%) had an improvement in visual acuity compared with preoperative levels (p< 0,05). Giant cells were observed in
the intraocular lens optic in 7 eyes (20%). Posterior capsule opacification occurred in 10 eyes (29%). Clinical cystoid
macular edema was observed in 4 eyes, and 2 eyes required trabeculectomy with mitomycin C due to secondary glaucoma.
Cataract surgery in patients with uveitis leads to successful visual results after correct surgical timing, and adequate
anti-inflammatory therapy. There were no significant differences in the degree of inflammation after implantation
of various types of intraocular lenses.
Keywords
intraocular lenses; surgery; cataract; uveitis
Hrčak ID:
27903
URI
Publication date:
20.6.2005.
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