Real life results of phacoemulsification with intraocular lens implant in uveitis patients
Purpose
To describe the visual and inflammatory results of uveitis patients undergoing phacomulsification with primary acrylic intraocular lens implant.
Methods
A single-center retrospective, non-comparative cohort study was performed at a tertiary-care, university-affiliated hospital in Madrid. All patients undergoing phacomulsification with primary intraocular lens implant between August 2018 and December 2020 with a previous diagnosis of infectious or noninfectious uveitis were included. Only one eye per patient was included.
Results
Nineteen patients with uveitis underwent cataract surgery during the inclusion period. Median age was 65 years (44 to 83). Nine were women (47.4%). Six patients had a diagnosis of infectious uveitis. Thirteen cases were non-infectious. Ten patients were on systemic treatment for their uveitis before surgery. The eye had been quiescent for at least 3 months in all but one patient. Median best corrected visual acuity (BCVA) changed from 0.4 LogMAR preoperatively (0.15 to 1.8) to 0.1 LogMAR at discharge (0.0 to 0.7; p<0.001). There was 1 case of posterior capsule rupture. BCVA improved after surgery in 17 cases (89.5%), and remained stable in 2 (10.5%). Uveitis recurred in 4 (22.2%). Median time to recurrence was 151 days (41 to 226).
Conclusion
Phacoemulsification with primary acrylic intraocular lens implant is a safe procedure, which can improve visual acuity in uveitis patients. Around 1 in 5 patients will experience a flare up, especially in the first 8 months.
Conflict of interest
No
Authors 1
Last name
GONZALEZ-LOPEZ
Initials of first name(s)
JJ
Department
Hospital Ramón y Cajal
City
Madrid
Country
Spain
Authors 2
Last name
MARTIN-ARES
Initials of first name(s)
A
Department
Hospital Ramón y Cajal
City
Madrid
Country
Spain
Authors 3
Last name
ECHEVERRIA
Initials of first name(s)
N
Department
Hospital Ramón y Cajal
City
Madrid
Country
Spain
Authors 4
Last name
CIANCAS
Initials of first name(s)
E
Department
Hospital Ramón y Cajal
City
Madrid
Country
Spain
Authors 5
Last name
SERRADOR
Initials of first name(s)
M
Department
Hospital Ramón y Cajal
City
Madrid
Country
Spain
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