Original scientific paper
Cataract Surgery and Intraocular Lens Implantation in Children with Juvenile Rheumatoid Arthritis associated Uveitis
Ivanka Petric
Valentina Lacmanović Lončar
Zoran Vatavuk
Renata Iveković
Irena Sesar
Zdravko Mandić
Abstract
Clinical records of 6 children (7 eyes) with juvenile rheumatoid arthritis (JRA) who underwent cataract surgery
with IOL implantation between January 1998 and December 2002 were reviewed. The median age at the time of cataract
surgery was 8 years (range 5–14 years). The median follow up was 48 months (range 26 to 60 months). Five of six
children (6 eyes) were on systemic imunosuppressive or anti-inflammatory therapy. Glaucoma was present in three
eyes before surgery, and all three eyes underwent combined cataract surgery and trabeculectomy with mitomycin C. A
final best corrected visual acuity of 0.5 or better was achieved in all eyes Postoperative complications included posterior
capsule opacification (n=5), glaucoma (n=1), and cystoid macular edema (n=1). Intraocular lens implantation in
children with control of preoperative and postoperative ocular inflammation could lead to favorable visual results.
Keywords
cataract; surgery; intraocular lens implantation; children; juvenile rheumatoid arthritis; uveitis
Hrčak ID:
27907
URI
Publication date:
20.6.2005.
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