Purchase this article with an account.
S.W. Meskin, P. Latkany, C. Samson; Cataract Surgery Outcomes in Patients with Sarcoid Uveitis . Invest. Ophthalmol. Vis. Sci. 2003;44(13):2390.
Download citation file:
© ARVO (1962-2015); The Authors (2016-present)
Purpose: To review clinical outcomes of cataract surgery in patients with sarcoid related uveitis at the New York Eye & Ear Infirmary. Methods: Retrospective chart review of 6 patients (11 eyes) with sarcoidosis-associated uveitis who underwent cataract surgery at the New York Eye & Ear Infirmary over the last 8 years. Outcomes analyzed included patient age, type of uveitis, surgeries performed, initial and final visual acuity, postoperative complications, as well as the use of topical and systemic corticosteroid, nonsteroidal anti-inflammatory, or systemic immunosuppressive agents in the pre-, peri-, and postoperative periods. Results: The ages of the patients ranged from 36 to 72 years (mean: 54.5 yrs.). Mean duration of disease was 10 years. Three patients had bilateral anterior granulomatous uveitis, 2 patients had bilateral pan-uveitis, and 1 patient had bilateral intermediate uveitis. All six patients (11 eyes) underwent cataract extraction with insertion of a posterior chamber lens; other surgical procedures included trabeculectomy with antimetabolite, glaucoma drainage implants, pars plana vitrectomy, and retinal membrane peel. Mean postoperative follow-up was 22 months. The mean initial visual acuity averaged 20/200 (range: 20/60 to hand motion), and mean final visual acuity averaged 20/60 (range: 20/25 to HM). All patients were given systemic corticosteroid and/or immunosuppressive agents to control inflammation during the peri-operative and/or post-operative periods. Poor visual outcomes were related to complications of chronic uveitis, including 4 eyes with cystoid macular edema, 2 eyes with epiretinal membranes, and 8 eyes with uveitic glaucoma. Conclusions: Successful surgical outcomes with minimal postoperative complications were achieved in patients with sarcoid-associated uveitis when inflammation was controlled. Limited visual improvement following surgery was secondary to retina or optic nerve pathology preceding surgery, and related to severity of the uveitis.
This PDF is available to Subscribers Only