title: Combined phacoemulsification, primary intraocular lens implantation, and pars plana vitrectomy in children with uveitis.
abstract: OBJECTIVE
  To evaluate the outcome of combined cataract surgery with primary intraocular lens (IOL) implantation and pars plana vitrectomy (PPV) in children with uveitis.
  
  
  METHODS
  Data regarding visual acuity (VA), inflammatory status, medical therapy, and complications was collected from the medical charts of 17 children (21 eyes) with chronic uveitis who underwent combined cataract surgery and PPV at the Eye Clinic, Sahlgrenska/Mölndal, between 2002 and 2011.
  
  
  RESULTS
  Seventy-six percent of the children had juvenile idiopathic arthritis. Median preoperative VA was 1.70 logMAR and median VA after 12 months was 0.17 logMAR. Postoperatively, glaucoma developed in 7 eyes, cystoid macular edema in 3 eyes, and visual axis opacification requiring treatment in 5 eyes.
  
  
  CONCLUSIONS
  Although combined phacoemulsification, primary IOL implantation, and PPV in children with uveitis resulted in favorable visual outcome and stable inflammation in a majority of children, the technique should so far be reserved for uveitic cases with vitreous pathology.
authors.affiliation: Department of Clinical Neuroscience and Rehabilitation/Ophthalmology, Institute of Neuroscience and Physiology, The Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden; and Eye Clinic at Sahlgrenska University Hospital , Mölndal , Sweden and.
authors.forename: Sara
authors.initials: S
authors.lastname: Pålsson
authors.forename: Alf
authors.initials: A
authors.lastname: Nyström
authors.forename: Lena
authors.initials: L
authors.lastname: Sjödell
authors.forename: Gunnar
authors.initials: G
authors.lastname: Jakobsson
authors.forename: Eva
authors.initials: E
authors.lastname: Byhr
authors.forename: Marita
authors.initials: M
authors.lastname: Andersson Grönlund
authors.forename: Madeleine
authors.initials: M
authors.lastname: Zetterberg
mesh_terms: D000293:Adolescent; D002386:Cataract / Q000150:complications*; D002648:Child; D002675:Child, Preschool; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D015994:Incidence; D007223:Infant; D007429:Intraocular Pressure; D019654:Lens Implantation, Intraocular / Q000379:methods*; D008297:Male; D018918:Phacoemulsification / Q000379:methods*; D011183:Postoperative Complications / Q000453:epidemiology*; D012189:Retrospective Studies; D013548:Sweden / Q000453:epidemiology; D014605:Uveitis / Q000150:complications / Q000503:physiopathology / Q000601:surgery*; D014792:Visual Acuity; D014821:Vitrectomy / Q000379:methods*
keywords: Cataract; IOL implantation; pars plana vitrectomy; pediatric; uveitis