[Cataract extraction using the phacoemulsification technique in patients with uveitis].
OBJECTIVE
To report outcomes of cataract extraction by phacoemulsification in patients with uveitis.


METHODS
We retrospectively reviewed the charts of 189 patients (242 eyes) with uveitis who underwent cataract extraction by phacoemulsification at the Uveitis and Ocular Immunology Unit of McGill University Health Centre, Montreal, Quebec, Canada.


RESULTS
Average follow-up was 46 +/- 31.2 months. Average preoperative visual acuity was 20/100 and average postoperative visual acuity was 20/40. Hundred and forty-six eyes (59.9%) attained visual acuity better than 20/40. Visual loss occurred in 26 eyes. The most common peroperative complication was posterior capsule rupture with vitreous loss seen in 7 eyes (3%). Recurrence of uveitis was the most common postoperative complication seen in 73 eyes (30.16%). Other postoperative complications included iris atrophy (28.51%), ocular hypertension (28.09%), epiretinal membrane (26.44%), posterior capsule opacification (19%), cystoid macular edema (13.63%), ocular hypotony (12.80%), optic disc atrophy (8.67%) and posterior synechiae (6.61%).


CONCLUSIONS
Cataract extraction by phacoemulsification is safe in patients with uveitis. Successful visual results are observed in long-term follow-up despite the prevalence of recurrence of uveitis, posterior capsule opacification and macular abnormalities. To the best of our knowledge this is the largest series presented to date.
Yamane
Cláudio de Lima
Cde L
Faculdade de Medicina, Universidade Federal Fluminense, Niterói, RJ, Brasil.
Vianna
Raul N G
RN
Cardoso
Gilberto Perez
GP
Deschênes
Jean
J
Burnier
Miguel N
MN
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001284:Atrophy; D001938:Brazil; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007429:Intraocular Pressure / Q000502:physiology; D007498:Iris / Q000473:pathology; D007903:Lens Capsule, Crystalline / Q000293:injuries; D019654:Lens Implantation, Intraocular; D007910:Lenses, Intraocular; D008297:Male; D008875:Middle Aged; D009798:Ocular Hypertension / Q000209:etiology; D018918:Phacoemulsification / Q000009:adverse effects*; D012008:Recurrence; D012189:Retrospective Studies; D016896:Treatment Outcome; D014605:Uveitis / Q000150:complications* / Q000473:pathology / Q000601:surgery; D014792:Visual Acuity / Q000502:physiology