title: Cataract surgery and intraocular lens implantation in children with juvenile rheumatoid arthritis associated uveitis.
abstract: Clinical records of 6 children (7 eyes) with juvenile rheumatoid arthritis (JRA) who underwent cataract surgery with IOL implantation between January 1998 and December 2002 were reviewed. The median age at the time of cataract surgery was 8 years (range 5-14 years). The median follow up was 48 months (range 26 to 60 months). Five of six children (6 eyes) were on systemic immunosuppressive or anti-inflammatory therapy. Glaucoma was present in three eyes before surgery, and all three eyes underwent combined cataract surgery and trabeculectomy with mitomycin C. A final best corrected visual acuity of 0.5 or better was achieved in all eyes Postoperative complications included posterior capsule opacification (n = 5), glaucoma (n = 1), and cystoid macular edema (n = 1). Intraocular lens implantation in children with control of preoperative and postoperative ocular inflammation could lead to favorable visual results.
authors.affiliation: University Department of Ophthalmology, Clinical Hospital, Systers of Mercy, Zagreb, Croatia. ivankapetric@hotmail.com
authors.forename: Ivanka
authors.initials: I
authors.lastname: Petric
authors.forename: Valentina Lacmanović
authors.initials: VL
authors.lastname: Loncar
authors.forename: Zoran
authors.initials: Z
authors.lastname: Vatavuk
authors.forename: Renata
authors.initials: R
authors.lastname: Iveković
authors.forename: Irena
authors.initials: I
authors.lastname: Sesar
authors.forename: Zdravko
authors.initials: Z
authors.lastname: Mandić
mesh_terms: D000293:Adolescent; D001171:Arthritis, Juvenile; D002387:Cataract Extraction; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D019654:Lens Implantation, Intraocular; D008297:Male; D011183:Postoperative Complications; D016896:Treatment Outcome; D014605:Uveitis; D014792:Visual Acuity