London 2014 Registration Visa Letters Programme Satellite Meetings Glaucoma Day 2014 Exhibition Hotel Booking Virtual Exhibition Star Alliance
london escrs

Course handouts are now available
Click here


Come to London

video-icon

WATCH to find out why


Site updates:

Programme Updates. Programme Overview and - Video Symposium on Challenging Cases now available.


Posters

Search Abstracts by author or title
(results will display both Free Papers & Poster)

Immunological criteria of risk of postoperative inflammation in uveal cataract surgery

Poster Details

First Author: S.Medjidova AZERBAIJAN

Co Author(s):    E. Qasimov              

Abstract Details

Purpose:

There is much information about successful cataract surgery at different uveitis in the literature. However, frequency of postoperative inflammation in uveal cataract surgery even at the present stage of microsurgery remains quite high. Assessment of results of surgical treatment of patients with uveal cataracts on the background of complex clinical and immunological examination.

Setting:

The study group of 52 patients (74 eyes) with uveal cataracts (male – 29, female – 23) has been chosen on the basis of the clinical material of the National Center of Ophthalmology named after acad. Zarifa Aliyeva.

Methods:

The examination complex was presented by ophthalmologic and immunological methods. Ophthalmologic evaluation: medical history, visometry, refractometry, tonometry, perimetry, biomicroscopy, fundus ophthalmoscopy, ultrasound of the organ of vision (A- and B-scan), ERG, FAG, and OCT. Laboratory evaluation: general blood and urine tests, determination of glucose level in blood, C-reactive protein, rheumatoid factor, antistreptolysin, fibrinogen, low coagulation, serological responses to various infections and viruses, and evaluation of the immune status.In all patients, phacoemulsification with IOL implantation was used to remove cataracts against the background of the disease remission and no recurrence within 3 months prior to surgery.

Results:

Despite high professional level of surgeons and careful preoperative preparation, there were postoperative complications, the structure of which depended on the initial severity of the operated eyes. Shortly after the surgery, inflammation of varying severity was reported in 32 eyes (43.3%), in the late period – in 28 eyes (37.8%). In patients with developed postoperative inflammation prior to the surgery there was observed a significant increase of average indices of C3-component of the complement (1753±10,01mg/L), IgA (563,8±4,7mg/dl), IgG (2028±7,4mg/dl) and ANA (1,8±0,11) in serum relative to the control index (p<0.05)

Conclusions:

Careful pre- and postoperative control of activity of the inflammatory process, faultless surgical technique, effective and early detection and treatment of postoperative complications, complete clinical examination of the posterior segment of the eye are the key to successful treatment of uveal cataract. Immunological preoperative examination may serve as an additional method of assessment to predict the risk of postoperative exudative inflammatory reaction.

Financial Disclosure:

NONE

Back to Poster listing