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Erika Miolet Hurtado Jallaza, Bernardo Schlaen, Cristobal Couto, Maria de las Mercedes Frick, Matilde Lopez; Cataract Surgery with Intraocular Lens Implantation in Patients with Vogt Koyanagi Harada Syndrome. Invest. Ophthalmol. Vis. Sci. 2013;54(15):1832.
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© ARVO (1962-2015); The Authors (2016-present)
To describe the results of cataract surgery in patients with Vogt Koyanagi Harada syndrome.
The medical records of patients with VKH syndrome who underwent cataract surgery between June 1998 and November 2012 were retrospectively analyzed.
Thirty seven eyes of 26 patients were included. Mean age was 49.38 +/- 15.62 years (19-80 years). Preoperative best corrected visual acuity (BCVA) was less than 20/200 or worse in 30 eyes (81.08%), while postoperative BCVA was greater than 20/40 in 25 eyes (67.56%). Phacoemulsification was performed in all patients. Small pupils managed by synechiolysis with an iris kuglen (19 eyes) or iris hooks (18 eyes). Pars plana vitrectomy (PPV) and posterior capsulotomy were carried out in 18 eyes of 16 patients. All patients underwent intraocular lens (IOL) implantation. The difference in the proportion of patients with postoperative inflammation relapse between those who had hydrophilic acrylic IOL, hydrophobic acrylic IOL and PMMA implantation was not statistically significant (Fisher exact test: hydrophilic vs hydrophobic: 0.14; hydrophilic vs PMMA: 0.11; PMMA vs hydrophobic: 0.39). None of the IOLs needed to be explanted. Severe postoperative inflammation was recorded in 6 eyes.
Phacoemulsification with IOL implantation associated with PPV and posterior capsulotomy in combination with a suitable perioperative medical management yielded a good visual outcome in patients with Vogt Koyanagi Harada syndrome. The comparison of the occurrence of postoperative inflammatory relapses between those patients who underwent hydrophilic acrylic, hydrophobic acrylic and PMMA was not statistically signicant.
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