May 2008
Volume 49, Issue 13
Free
ARVO Annual Meeting Abstract  |   May 2008
Long Term Outcomes of Uveitic Cataract Extraction
Author Affiliations & Notes
  • C. Foster
    Ophthalmology, Mass Eye Research & Surgery Inst, Cambridge, Massachusetts
  • D. M. Hinkle
    Ophthalmology, Mass Eye Research & Surgery Inst, Cambridge, Massachusetts
  • Footnotes
    Commercial Relationships  C. Foster, None; D.M. Hinkle, None.
  • Footnotes
    Support  None.
Investigative Ophthalmology & Visual Science May 2008, Vol.49, 5659. doi:https://doi.org/
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      C. Foster, D. M. Hinkle; Long Term Outcomes of Uveitic Cataract Extraction. Invest. Ophthalmol. Vis. Sci. 2008;49(13):5659. doi: https://doi.org/.

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      © ARVO (1962-2015); The Authors (2016-present)

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Abstract

Purpose: : To report long-term outcomes of cataract extraction in eyes with uveitis.

Methods: : A retrospective chart review of all patients who underwent cataract extraction during a 5 year period with minimum follow-up of 5 years was performed. 47 eyes of 35 patients were included in the analysis. Juvenile idiopathic arthritis was the only exclusion criterion.

Results: : The median visual acuity at the preoperative visit, the 5 year post-operative visit, and last follow-up (mean 98 months) were as follows: 20/1040, 20/25, and 20/25, respectively. 79% of eyes maintained best corrected visual acuity of 20/40 or better at the last follow-up visit. 12% of eyes had a visual acuity of 20/200 or worse secondary to pre-existing conditions or posterior segment pathology. Compared to the preoperative best corrected acuity, at the last evaluation vision was improved, unchanged, or worse in 40, 3, and 4 eyes, respectively. The mean intraocular pressure reduction was 3.13mm Hg (p=0.0006) at last follow-up. Six eyes (13%) required glaucoma surgery during the follow-up period. Twenty three eyes (49%) required posterior capsulotomy during the follow-up period.

Conclusions: : Cataract extraction in uveitic eyes can result in long-term improvement in visual acuity with an acceptable risk profile provided there is meticulous control of inflammation. Visual outcomes are negatively impacted by pre-existing and co-morbid posterior segment pathologies.

Keywords: cataract • uveitis-clinical/animal model • small incision cataract surgery 
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