Cataract Surgical Treatment in Patients With Chronic Uveitis

Kataeva, Zinaida

Cataract Surgical Treatment in Patients With Chronic Uveitis

Friday, April 25, 2014

KIOSKS (Boston Convention and Exhibition Center)

Zinaida Kataeva, MD, IRTC Eye Microsurgery Ekaterinburg Center, Ekaterinburg, Russia

Oleg V. Shilovskikh, MD, IRTC Eye Microsurgery Ekaterinburg Center, Ekaterinburg, Russia

Olga Safonova, IRTC Eye Microsurgery Ekaterinburg Center, Ekaterinburg, Russia

Narrative Responses:

Purpose
To evaluate the results of cataract surgical treatment in patients with chronic uveitis.

Methods
75 patients (101 eyes) aged from 5 to 74 years (mean 36.6 years) were enrolled. BCVA was from light perception to 0.7 (mean 0.15). In 81 eyes pupillary occlusion was seen, band keratopathy was present in 25 eyes and anterior synechiae in 11 eyes. IOP was from 6 to 50.5 (mean 17.2).

Results
BCVA after surgery was from 0.05 to 1.0 (mean 0.47). In 26 cases cystoid macular edema was seen, it was resolved in 14 cases after anti – inflammatory therapy and in 9 cases patients underwent vitrectomy with intravitreal steroid injection. In 20.8% cases deposits were observed on the IOL surface. High IOP was seen in 4 cases and it was compensated with surgical treatment.

Conclusion
The suggested method of cataract surgery in chronic uveitis with adequate pre- and postoperative anti-inflammatory therapy provides a possibility to improve visual functions. Most of postoperative complications were well treated.