Abstract
2/2010
vol. 112
Original paper
Cataract surgery with primary intraocular lens implantation in children suffering from chronic uveitis
- Z Kliniki Okulistyki Dziecięcej Uniwersytetu Medycznego w Białymstoku Clinic of Children Ophthalmology Medical University, Bialystok, Poland
Online publish date: 2010/07/21
Purpose: To evaluate the visual outcome of cataract surgery with intraocular lens (IOL) implantation in children with chronic uveitis.
Material and methods: The records of seven children (9 eyes), with chronic uveitis who had cataract extraction with IOL implantation between 2001 and 2007, were retrospectively examined. The mean follow-up was 47.9 months, respectively. The
postoperative visual outcome and complications were analyzed.
Results: The mean age of 2 girls and 5 boys was 17.4 years (range from 12 to 21 years). 5 patients had unilateral cataract.
6 patients underwent cataract extraction with IOL implantation, one patient underwent combined cataract surgery with IOL implantation and trabeculectomy. Median age at surgery was 17.7 years. At the final follow-up examination 8 eyes (88.9%), had
improved visual acuity. The visual acuity was 20/20 in one eye, 20/40 or better in 5 eyes and 20/50 in 3 eyes. Posterior capsule
opacification was observed in 5 eyes, high intraocular pressure in 2 eyes and cystoid macular edema in 1 eye.
Conclusions: The outcomes of cataract extraction with IOL implantation in children’s eyes with chronic uveitis may be satisfactory. Correct time of surgery, adequate long-term preoperative and postoperative anti-inflammatory therapy may promote good
results.
Material and methods: The records of seven children (9 eyes), with chronic uveitis who had cataract extraction with IOL implantation between 2001 and 2007, were retrospectively examined. The mean follow-up was 47.9 months, respectively. The
postoperative visual outcome and complications were analyzed.
Results: The mean age of 2 girls and 5 boys was 17.4 years (range from 12 to 21 years). 5 patients had unilateral cataract.
6 patients underwent cataract extraction with IOL implantation, one patient underwent combined cataract surgery with IOL implantation and trabeculectomy. Median age at surgery was 17.7 years. At the final follow-up examination 8 eyes (88.9%), had
improved visual acuity. The visual acuity was 20/20 in one eye, 20/40 or better in 5 eyes and 20/50 in 3 eyes. Posterior capsule
opacification was observed in 5 eyes, high intraocular pressure in 2 eyes and cystoid macular edema in 1 eye.
Conclusions: The outcomes of cataract extraction with IOL implantation in children’s eyes with chronic uveitis may be satisfactory. Correct time of surgery, adequate long-term preoperative and postoperative anti-inflammatory therapy may promote good
results.
Keywords
chronic uveitis, cataract surgery, intraocular lens implantation, children
Integrated with
