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Long-term outcomes of cataract surgery in children with uveitis.

Abstract：

Purpose:To evaluate the long-term outcomes of cataract surgery in children with uveitis. Methods:Retrospective, noncomparative review of medical records of children (≤16 years) with uveitic cataract who had undergone cataract surgery between January 2001 and December 2014 at a tertiary care center was done. The main outcome measures were visual acuity and postoperative complications. Results:We recruited 37 children (58 eyes) who were diagnosed with uveitic cataract and underwent cataract surgery. The etiology of uveitis included juvenile idiopathic arthritis (n = 19), presumed intraocular tuberculosis (n = 8), idiopathic (n = 4), Behçet's disease (n = 2), Vogt-Koyanagi-Harada syndrome (n = 2), human leukocyte antigen B-27 associated uveitis (n = 1), and toxocariasis (n = 1). Phacoemulsification with intraocular lens (IOL) implantation was performed in 17 patients (27 eyes; 46.55%), while 20 patients (31 eyes; 53.44%) were left aphakic after pars plan lensectomy and vitrectomy. At an average follow-up of 3.69 ± 7.2 (SD) years, all cases had significant improvement in corrected distance visual acuity post cataract extraction; visual acuity of 20/40 or more was achieved in 32 eyes (55.17%). The most common complication was capsular opacification (37.93%). Incidence of secondary procedures as well as glaucoma was not statistically different in patients undergoing IOL implantation from those who were aphakic. Conclusion:Even though number of secondary procedures was more in pseudophakic group, meticulous choice of surgical technique and adequate immunosuppression lead to a modest gain of visual acuity in children undergoing IOL implantation in uveitis. However, scrupulous case selection and aggressive control of pre- and postoperative intraocular inflammation are the key factors in the postoperative success of these patients.

journal_name

Indian J Ophthalmol

journal_title

Indian journal of ophthalmology

authors

Yangzes S,Seth NG,Singh R,Gupta PC,Jinagal J,Pandav SS,Gupta V,Gupta A,Ram J

doi

10.4103/ijo.IJO_846_18

subject

Has Abstract

pub_date

2019-04-01 00:00:00

pages

490-495

issue

eissn

0301-4738

issn

1998-3689

pii

IndianJOphthalmol_2019_67_4_490_254731

journal_volume

pub_type

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Long-term outcomes of cataract surgery in children with uveitis.