Phacoemulsification with primary implantation of an intraocular lens in patients with uveitis

Sara Pålsson,1,2 Marita Andersson Grönlund,1,2 Dragana Skiljic,1,2 Madeleine Zetterberg1,2 1Department of Clinical Neuroscience/Ophthalmology, Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden; 2Department of Ophthalmology...

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Main Authors: Pålsson S, Andersson Gronlund M, Skiljic D, Zetterberg M
Format: Article
Language:English
Published: Dove Medical Press 2017-08-01
Series:Clinical Ophthalmology
Subjects:
Online Access:https://www.dovepress.com/phacoemulsification-with-primary-implantation-of-an-intraocular-lens-i-peer-reviewed-article-OPTH
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author Pålsson S
Andersson Gronlund M
Skiljic D
Zetterberg M
author_facet Pålsson S
Andersson Gronlund M
Skiljic D
Zetterberg M
author_sort Pålsson S
collection DOAJ
description Sara Pålsson,1,2 Marita Andersson Grönlund,1,2 Dragana Skiljic,1,2 Madeleine Zetterberg1,2 1Department of Clinical Neuroscience/Ophthalmology, Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden; 2Department of Ophthalmology, Sahlgrenska University Hospital, Mölndal, Sweden Purpose: To evaluate the outcome of cataract surgery in adult patients with uveitis. Materials and methods: In this retrospective cohort study, medical charts of patients with uveitis and matched control patients without uveitis who underwent cataract surgery at the Eye Clinic, Sahlgrenska University Hospital, Mölndal, between January 2005 and December 2009 were analyzed. Results: The study included 58 eyes with and 283 eyes without uveitis. The most common etiologies were idiopathic anterior uveitis and Fuchs’ heterochromic uveitis. Postoperative visual acuity at 4 weeks was ≥0.5 decimal (0.3 logMAR) in 48 eyes with uveitis (87.3%) compared to 180 non-uveitic eyes (86.1%). Four eyes with uveitis (7.1%) and one eye without uveitis (0.5%) developed postoperative intraocular hypertension/glaucoma. Posterior capsule opacification developed in 11 eyes (19.0%) with and 28 eyes (12.4%) without uveitis. Conclusion: With appropriate perioperative anti-inflammatory regimen and surveillance, modern cataract surgery using phacoemulsification and primary intraocular lens implantation can be performed in patients with uveitis without greater risk of complications, yielding similar visual outcome as in patients without uveitis. Keywords: cataract, intraocular lens, phacoemulsification, uveitis
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spelling doaj.art-87f61755f4254bfa9c92bce9090252bc2022-12-21T21:52:06ZengDove Medical PressClinical Ophthalmology1177-54832017-08-01Volume 111549155534366Phacoemulsification with primary implantation of an intraocular lens in patients with uveitisPålsson SAndersson Gronlund MSkiljic DZetterberg MSara Pålsson,1,2 Marita Andersson Grönlund,1,2 Dragana Skiljic,1,2 Madeleine Zetterberg1,2 1Department of Clinical Neuroscience/Ophthalmology, Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden; 2Department of Ophthalmology, Sahlgrenska University Hospital, Mölndal, Sweden Purpose: To evaluate the outcome of cataract surgery in adult patients with uveitis. Materials and methods: In this retrospective cohort study, medical charts of patients with uveitis and matched control patients without uveitis who underwent cataract surgery at the Eye Clinic, Sahlgrenska University Hospital, Mölndal, between January 2005 and December 2009 were analyzed. Results: The study included 58 eyes with and 283 eyes without uveitis. The most common etiologies were idiopathic anterior uveitis and Fuchs’ heterochromic uveitis. Postoperative visual acuity at 4 weeks was ≥0.5 decimal (0.3 logMAR) in 48 eyes with uveitis (87.3%) compared to 180 non-uveitic eyes (86.1%). Four eyes with uveitis (7.1%) and one eye without uveitis (0.5%) developed postoperative intraocular hypertension/glaucoma. Posterior capsule opacification developed in 11 eyes (19.0%) with and 28 eyes (12.4%) without uveitis. Conclusion: With appropriate perioperative anti-inflammatory regimen and surveillance, modern cataract surgery using phacoemulsification and primary intraocular lens implantation can be performed in patients with uveitis without greater risk of complications, yielding similar visual outcome as in patients without uveitis. Keywords: cataract, intraocular lens, phacoemulsification, uveitishttps://www.dovepress.com/phacoemulsification-with-primary-implantation-of-an-intraocular-lens-i-peer-reviewed-article-OPTHCataractIntraocular lensPhacoemulsificationUveitis
spellingShingle Pålsson S
Andersson Gronlund M
Skiljic D
Zetterberg M
Phacoemulsification with primary implantation of an intraocular lens in patients with uveitis
Clinical Ophthalmology
Cataract
Intraocular lens
Phacoemulsification
Uveitis
title Phacoemulsification with primary implantation of an intraocular lens in patients with uveitis
title_full Phacoemulsification with primary implantation of an intraocular lens in patients with uveitis
title_fullStr Phacoemulsification with primary implantation of an intraocular lens in patients with uveitis
title_full_unstemmed Phacoemulsification with primary implantation of an intraocular lens in patients with uveitis
title_short Phacoemulsification with primary implantation of an intraocular lens in patients with uveitis
title_sort phacoemulsification with primary implantation of an intraocular lens in patients with uveitis
topic Cataract
Intraocular lens
Phacoemulsification
Uveitis
url https://www.dovepress.com/phacoemulsification-with-primary-implantation-of-an-intraocular-lens-i-peer-reviewed-article-OPTH
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AT skiljicd phacoemulsificationwithprimaryimplantationofanintraocularlensinpatientswithuveitis
AT zetterbergm phacoemulsificationwithprimaryimplantationofanintraocularlensinpatientswithuveitis