Cataract management in juvenile idiopathic arthritis: simultaneous versus secondary intraocular lens implantation.
OBJECTIVE
To compare primary versus secondary intraocular lens (IOL) implantation after cataract removal in patients with juvenile idiopathic arthritis (JIA).


METHODS
Retrospective interventional study. Data were obtained for 40 children (40 eyes) with JIA-associated uveitis operated on for cataract before the age of 16 years between January 1998 and January 2005.


RESULTS
Twenty-one patients underwent primary IOL implantation at a mean age of 13.1 ± 2.6 (9-16) years. Mean follow-up was 48.2 ± 5.4 (35-64) months. Nineteen patients underwent cataract removal at a mean age 12.3 ± 2.0 (9-16) years and secondary IOL implantation 13.6 ± 0.3 (11-16) months later. Mean follow-up was 47.2 ± 6.5 (32-64) months. BCVA difference between the two groups was significant at 24-month visit only (p = 0.001). Incidence of secondary glaucoma was significantly lower in the group that underwent secondary IOL implantation (p = 0.01).


CONCLUSIONS
Secondary IOL implantation after cataract removal in children with JIA-related uveitis provided a significantly lower incidence of secondary glaucoma.
Department of Pediatric Ophthalmology, University of Salerno , Salerno , Italy .
Adriano
A
Magli
Raimondo
R
Forte
Luca
L
Rombetto
Maria
M
Alessio
D000293:Adolescent; D001171:Arthritis, Juvenile / Q000150:complications*; D002386:Cataract / Q000150:complications*; D002387:Cataract Extraction / Q000379:methods*; D002648:Child; D005500:Follow-Up Studies; D005901:Glaucoma / Q000453:epidemiology / Q000209:etiology; D006801:Humans; D015994:Incidence; D007558:Italy / Q000453:epidemiology; D019654:Lens Implantation, Intraocular / Q000379:methods*; D011183:Postoperative Complications; D011379:Prognosis; D012189:Retrospective Studies; D013997:Time Factors