May 2003
Volume 44, Issue 13
ARVO Annual Meeting Abstract  |   May 2003
Cataract Surgery Outcomes in Patients with Sarcoid Uveitis
Author Affiliations & Notes
  • S.W. Meskin
    Ophthalmology, New York Eye & Ear Infirmary, New York, NY, United States
  • P. Latkany
    Ophthalmology, New York Eye & Ear Infirmary, New York, NY, United States
  • C. Samson
    Ophthalmology, New York Eye & Ear Infirmary, New York, NY, United States
  • Footnotes
    Commercial Relationships  S.W. Meskin, None; P. Latkany, None; C. Samson, None.
Investigative Ophthalmology & Visual Science May 2003, Vol.44, 2390. doi:
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      S.W. Meskin, P. Latkany, C. Samson; Cataract Surgery Outcomes in Patients with Sarcoid Uveitis . Invest. Ophthalmol. Vis. Sci. 2003;44(13):2390.

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

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Abstract: : 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.

Keywords: treatment outcomes of cataract surgery • inflammation • clinical (human) or epidemiologic studies: out 

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