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Long-term outcomes of cataract surgery in children with uveitis

Poster Details

First Author: S.Yangzes INDIA

Co Author(s):    J. Ram   N. Gautam   R. Singh   V. Gupta           

Abstract Details

Purpose:

To evaluate the long-term outcomes of cataract surgery with or without intraocular lens implantation in children with uveitis.

Setting:

Post graduate institute of medical education and research (PGIMER) Chandigarh India

Methods:

Retrospective review of medical records of children with uveitis, who had undergone cataract surgery with primary intraocular lens (IOL) implantation (Group A) or pars plana vitrectomy with lensectomy without IOL implantation (Group B) between January 2001 to December 2014 at a tertiary care center, were reviewed. Main outcome measures were visual acuity and postoperative complications in both the groups.

Results:

This study included 37children (58 eyes). The etiology of uveitis included juvenile idiopathic arthritis (JIA) (n=19), presumed intraocular tuberculosis (n=8), idiopathic (n=4), Behcet�â�€�™s disease (n=2), Vogt-Koyanagi-Harada syndrome (n=2), HLA B-27 associated uveitis (n=1), Toxocariasis (n=1). Both groups had significant improvement in corrected distance visual acuity (CDVA) post cataract extraction; 20/40 or more in 19 eyes (70.37%) in pseudophakic and 13 eyes (41.93%) in aphakic group. Most common complication was capsular opacification (37.93%). Ocular hypertension was also frequently seen in both groups in the postoperative period.

Conclusions:

Conclusion: Majority of children with uveitis achieved good visual outcome after cataract surgery with or without IOL implantation. IOL implantation is associated with more secondary surgical procedures. With use of meticulous surgical techniques, systemic steroids or immunosuppressive therapy, good postoperative visual outcomes can be achieved and related complications can be avoided.

Financial Disclosure:

NONE

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