April 2010
Volume 51, Issue 13
Free
ARVO Annual Meeting Abstract  |   April 2010
Outcome of Cataract and Vitreous Surgery in Patients With Uveitis
Author Affiliations & Notes
  • D. Gonzalez-Guajardo
    Uveitis and Ocular Immunology, Institute of Ophthalmology, DF, Mexico
  • M. Nuno
    Ophthalmology, Hospital Civil de Guadalajara, Guadalajara, Mexico
  • P. Munoz
    Retina,
    Clinica de Retina de Guadalajara, Guadalajara, Mexico
  • M. Pedroza-Seres, Jr.
    Uveitis and Ocular Immunology, Institute of Ophthalmology, DF, Mexico
    Uveitis,
    Clinica de Retina de Guadalajara, Guadalajara, Mexico
  • Footnotes
    Commercial Relationships  D. Gonzalez-Guajardo, None; M. Nuno, None; P. Munoz, None; M. Pedroza-Seres, Jr., None.
  • Footnotes
    Support  None.
Investigative Ophthalmology & Visual Science April 2010, Vol.51, 5848. doi:
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      D. Gonzalez-Guajardo, M. Nuno, P. Munoz, M. Pedroza-Seres, Jr.; Outcome of Cataract and Vitreous Surgery in Patients With Uveitis. Invest. Ophthalmol. Vis. Sci. 2010;51(13):5848.

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Abstract

Purpose: : To evaluate the outcome of cataract and vitreous surgeries (alone or combined) performed in patients with uveitis.

Methods: : The records of 424 patients with uveítis were reviwed to the"Clinica de Retina de Guadalajara" Jalisco, Mexico. Patients who required vitreous and /or cataract surgery were studied. All the patients had a complete ophthalmological exam and paraclinics exams or image exams in order to determinate the diagnosis of uveitis. Most of the patients were inactive at least 3 months before a surgical procedure. A total of 51 surgeries (48 patients) were performed.

Results: : A total of 51 surgeries (48 patients) were performed. Twenty of 48 patients were male (42%) and 28 female (58%). Vitrectomy surgery was performed in 28 patients (55%); 10 patients (20%) underwent combined vitrectomy and lensectomy; 3 patients (5%) underwent phacovitrectomy with intraocular lens implant and 10 patients (20%) underwent phacoemulsification. The most frequent diagnosis in all the patients were as follows: ocular toxoplasmosis (8 patients); Vogt-Koyanagi-Harada disease (7 patients); Pars planitis (5 patients), and acute retinal necrosis (3 patients). Other diagnosis were as follows: idiophatic panuveitis, tuberculosis choroiditis, retinal idiophatic vasculitis, multifocal choroiditis and panuveitis, and Wegener's retinal vasculitis and vitreitis . In patients who underwent vitrectomy visual acuity (VA) improved 4 lines in 16 patients (57%); 7 patients improved 1 to 4 lines and 3 patients did not have improvement in their VA. In patients who underwent combined vitrectomy and lensectomy VA improved more than 4 lines in 3 (30%); 3 patients (30%) improved 1 to 4 lines, and 4 (40%) did not show improvement in their VA. Two patients (67%) who underwent phacovitrectomy their VA improved more than 4 lines, and 1 patient his VA improved 3 lines. The VA of all the patients who underwent phacoemulsification improved 1 to 4 lines. Secondary complications attribuible to surgical procedure were: macular oedema (50%); cataract (21%), and glaucoma (7%).

Conclusions: : Vitrectomy surgery was performed most frequently in patients with uveitis. Toxoplasmosis, Vogt-Koyanagi-Harada disease and Pars planitis were the diagnosis in most of the patients whom underwent surgery. The majority of patients (82%) showed improvement in their VA when the surgery was performed under strict control of the inflammatory process.

Keywords: uvea • vitreoretinal surgery • cataract 
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