Long-term results of cataract extraction with intraocular lens implantation in patients with uveitis.
OBJECTIVE
To investigate the long-term visual results after cataract extraction in patients with uveitis, and to demonstrate the long-term viability of intraocular lenses.


METHODS
In all, 61 patients (72 eyes), with update clinical examination, were retrospectively evaluated. Comparison of preoperative, postoperative, and latest visual function including best-corrected Snellen visual acuity, progression of uveitis and its complications, need for postoperative medical or surgical interventions.


RESULTS
After a minimum follow-up of 5 years (mean 7 years 7 months), 82% of eyes maintained a visual improvement of two Snellen lines, 74% maintained 6/9 or better, and 14% had 6/18 or worse. The mode acuity was better than 6/6. The prevalence of macular oedema or scarring was 24%, of posterior capsule opacification 96%, and of glaucoma drainage, 15%.


CONCLUSIONS
We report the long-term follow-up of cataract extraction and intraocular lens (IOL) implantation performed by a single surgeon on patients with uveitis attending a regional tertiary referral uveitis clinic. Using stringent perioperative and postoperative control of inflammation, patients with uveitis usually maintain high visual acuity over long-term follow-up. The incidence of sight-threatening postoperative complications is low and no ongoing complication has been attributed to IOL implantation.
Rahman
I
I
The Royal Eye Hospital, Manchester, UK.
Jones
N P
NP
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000893:Anti-Inflammatory Agents / Q000627:therapeutic use; D002386:Cataract / Q000150:complications; D002387:Cataract Extraction; D018450:Disease Progression; D005500:Follow-Up Studies; D005938:Glucocorticoids / Q000627:therapeutic use; D006801:Humans; D019654:Lens Implantation, Intraocular / Q000009:adverse effects; D008875:Middle Aged; D018918:Phacoemulsification; D011300:Preoperative Care / Q000379:methods; D012189:Retrospective Studies; D014605:Uveitis / Q000150:complications* / Q000188:drug therapy / Q000503:physiopathology; D014792:Visual Acuity
D000893:Anti-Inflammatory Agents; D005938:Glucocorticoids