What affects the outcome of cataract surgery in patients with uveitis?
Purpose
To evaluate the long-term visual outcomes of patients with uveitis undergoing cataract surgery and to identify possible factors influencing the visual prognosis and the development of postoperative complications.
Methods
Retrospective study of all patients with uveitis who underwent cataract surgery between January 2015 and February 2020 in our tertiary referral center.
Results
A total of 78 eyes from 78 patients were included in the study. The best corrected visual acuity (BCVA) improved in 86% of patients, and a BCVA of 0.5 or better was achieved in 57 (73%) patients. A significant correlation was shown between the preoperative and postoperative BCVA (Spearman r=0.521, p<0.01). Final BCVA differed between diverse anatomical uveitis entities (p=0.047), and anterior uveitis demonstrated the best outcomes. Chronic uveitis resulted in a worse final BCVA than acute recurrent uveitis (p=0.001). The presence of CME any time before the surgery and intermediate uveitis were associated with worse visual prognosis, while systemic therapy for uveitis before surgery and iris manipulation during surgery were not related to visual outcomes, Postoperative development of cystoid macular edema (CME) was closely associated with preexisting CME (p<0.001) and intermediate uveitis (p=0.01).
Conclusion
Visual outcomes varied between the anatomical entities of uveitis. Limited visual outcomes were more frequently observed in patients with chronic uveitis and intermediate uveitis with a history of CME.
Conflict of interest
No
Authors 1
Last name
JEVNIKAR
Initials of first name(s)
K
Department
Department of Ophthalmology, University Medical Centre Ljubljana
City
Ljubljana
Country
Slovenia
Authors 2
Last name
Počkar
Initials of first name(s)
Saša
Department
Manchester Royal Eye Hospital, Manchester University Hospitals NHS Foundation
City
Manchester
Country
United Kingdom
Authors 3
Last name
Umek
Initials of first name(s)
Lan
Department
Faculty of Public Administration, University of Ljubljana
City
Ljubljana
Country
Slovenia
Authors 4
Last name
Rothova
Initials of first name(s)
A
Department
Department of Ophthalmology, Erasmus MC, University Medical Center Rotterdam, Rotterdam, The Netherl
City
Rotterdam
Country
Netherlands
Authors 5
Last name
Vidovič Valentinčič
Initials of first name(s)
N
Department
Department of Ophthalmology, University Medical Centre Ljubljana
City
Ljubljana
Country
Slovenia
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