Cataract surgery in patients with uveitis.
Until recently, cataract surgery in a patient with uveitis was regarded as a hazardous procedure that yielded unpredictable and often disappointing results. With an increasing number of ophthalmologists recognizing the consequences of chronic low-grade inflammation and therefore treating uveitis patients more aggressively, with a better selection of cases for surgery, and with better surgical techniques, more patients with a history of uveitis who need cataract surgery enjoy a successful outcome than ever before. Careful management and control of inflammation preoperatively and after surgery is critical to success. An in-the-bag posterior chamber lens implant can be part of the surgical plan in selected cases. The aims of the authors in this article are to emphasize the ideas of, intolerance to inflammation, a limited tolerance for steroids to minimize the incidence of cataract and irreversible damage of ocular structures essential to good vision, and strict criteria for selection and management of those patients with uveitis who need cataract surgery.
Rojas
B
B
Massachusetts Eye and Ear Infirmary, Boston 02114, USA.
Foster
C S
CS
D002386:Cataract / Q000150:complications* / Q000503:physiopathology; D002387:Cataract Extraction / Q000379:methods*; D006801:Humans; D007910:Lenses, Intraocular; D011182:Postoperative Care; D011300:Preoperative Care; D016896:Treatment Outcome; D014605:Uveitis / Q000150:complications* / Q000503:physiopathology; D014792:Visual Acuity