title: Cataract surgery in children with uveitis: retrospective analysis of intraocular lens implantation with anterior optic capture.
abstract: OBJECTIVE
  To present experience with cataract extraction in 9 eyes of 7 pediatric patients with chronic uveitis and compare the technique of anterior optic capture in 5 eyes that underwent cataract extraction without optic capture of the intraocular lens (IOL) or were left aphakic.
  
  
  METHODS
  A retrospective review of pediatric patients with chronic uveitis undergoing cataract surgery was performed, examining the preoperative and postoperative visual acuity, immunosuppressive therapy, surgical technique, complications, subsequent procedures, and need for escalation of systemic immunosuppressive therapy. The technique of anterior optic capture is described in detail.
  
  
  RESULTS
  Of the 9 eyes, 5 underwent cataract extraction with IOL placement with the haptics in the capsular bag and optic prolapsed through the anterior capsulorhexis. One eye underwent cataract extraction with IOL implantation in the bag. Three eyes had lensectomy without IOL placement. The eyes with anterior optic capture had no adverse outcomes and uveitis flares were controlled with topical medications and systemic immunosuppressants; the eye with IOL placement without optic capture had recurrent membranes and uveitis flares, necessitating increased systemic immunosuppression. All eyes achieved best-corrected visual acuity of 20/60 or better by 6 months following surgery and 20/30 or better at the most recent follow-up.
  
  
  CONCLUSIONS
  The technique of cataract extraction with IOL placement and anterior prolapse of the optic through the anterior capsulorhexis shows promise to be a safe and viable option for pediatric patients with chronic uveitis treated with systemic immunotherapy.
authors.forename: Pavlina S
authors.initials: PS
authors.lastname: Kemp
authors.forename: Susannah Q
authors.initials: SQ
authors.lastname: Longmuir
authors.forename: Kevin R
authors.initials: KR
authors.lastname: Gertsch
authors.forename: Scott A
authors.initials: SA
authors.lastname: Larson
authors.forename: Richard J
authors.initials: RJ
authors.lastname: Olson
authors.forename: Anne M
authors.initials: AM
authors.lastname: Langguth
authors.forename: Nasreen
authors.initials: N
authors.lastname: Syed
authors.forename: Thomas A
authors.initials: TA
authors.lastname: Oetting
mesh_terms: D000869:Anterior Eye Segment / Q000601:surgery; D002386:Cataract / Q000150:complications*; D002648:Child; D002675:Child, Preschool; D002908:Chronic Disease; D005260:Female; D006801:Humans; D019654:Lens Implantation, Intraocular / Q000379:methods*; D008297:Male; D018918:Phacoemulsification / Q000379:methods*; D019591:Pseudophakia / Q000503:physiopathology; D012189:Retrospective Studies; D014605:Uveitis / Q000150:complications*; D014792:Visual Acuity / Q000502:physiology