Cataract surgery in the setting of uveitis

Current Opinion in Ophthalmology

Volumn 20, Issue 1, 2009, Pages 42-45

  Van Gelder, Russell ^a,b   Leveque, Thellea K ^a  

^a UNIVERSITY OF WASHINGTON   (United States)

^b UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE   (United States)

Author keywords

Cataract; Iritis; Uveitis

Indexed keywords

ACICLOVIR; COTRIMOXAZOLE; METHOTREXATE; PREDNISOLONE ACETATE;

ANTIBIOTIC THERAPY; CATARACT; CATARACT EXTRACTION; CORTICOSTEROID THERAPY; DIAGNOSTIC APPROACH ROUTE; DIAGNOSTIC TEST; DISEASE ASSOCIATION; HUMAN; INTRAOPERATIVE PERIOD; LENS IMPLANT; OUTCOME ASSESSMENT; POSTOPERATIVE PERIOD; PREOPERATIVE EVALUATION; PRIORITY JOURNAL; RECURRENT DISEASE; RECURRENT INFECTION; REVIEW; SURGICAL PATIENT; TOXOPLASMOSIS; UVEITIS;

CATARACT; CATARACT EXTRACTION; EQUIPMENT DESIGN; HUMANS; LENS IMPLANTATION, INTRAOCULAR; LENSES, INTRAOCULAR; POSTOPERATIVE CARE; POSTOPERATIVE COMPLICATIONS; PREOPERATIVE CARE; RECURRENCE; TREATMENT OUTCOME; UVEITIS;

EID: 58149234762     PISSN: 10408738     EISSN: None     Source Type: Journal    
DOI: 10.1097/ICU.0b013e32831b9b22     Document Type: Review

References (26)

1. Foster CS, Rashid S. Management of coincident cataract and uveitis. Curr Opin Ophthalmol 2003; 14:1-6.
2. Meier FM, Tuft SJ, Pavésio CE. Cataract surgery in uveitis. Ophthalmol Clin North Am 2002; 15:365-373.
3. Bosch-Driessen LH, Plaisier MB, Stilma JS, et al. Reactivations of ocular toxoplasmosis after cataract extraction. Ophthalmology 2002; 109:41-45.
4. Tejwani S, Murthy S, Sangwan VS. Cataract extraction outcomes in patients with Fuchs' heterochromic cyclitis. J Cataract Refract Surg 2006; 32:1678-1682.
5. BenEzra D, Cohen E. Cataract surgery in children with chronic uveitis. Ophthalmology 2000; 107:1255-1260.
6. Jabs DA, Nussenblatt RB, Rosenbaum JT. Standardization of uveitis nomenclature for reporting clinical data. Results of the first international workshop. Am J Ophthalmol 2005; 140:509-516.
7. Hooper PL, Rao NA, Smith RE. Cataract extraction in uveitis patients. Surv Ophthalmol 1990; 35:120-144.
8. Foster CS, Fong LP, Singh G. Cataract surgery and intraocular lens implantation in patients with uveitis. Ophthalmology 1989; 96:281-288.
9. Dada T, Dhawan M, Garg S, et al. Safety and efficacy of intraoperative intravitreal injection of triamcinolone acetonide injection after phacoemulsification in cases of uveitic cataract. J Cataract Refract Surg 2007; 33:1613-1618.
10. Okhravi N, Morris A, Kok HS, et al Intraoperative use of intravitreal triamcinolone in uveitic eyes having cataract surgery: pilot study. J Cataract Refract Surg 2007;33:1278-1283.
11. Pande MV, Spalton DJ, Kerr-Muir MG, et al Postoperative inflammatory response to phacoemulsification and extracapsular cataract surgery: aqueous flare and cells. J Cataract Refract Surg 1996; 22 (Suppl 1):770-774.
12. Laurell CG, Zetterström C, Philipson B, et al. Randomized study of the bloodaqueous barrier reaction after phacoemulsification and extracapsular cataract extraction. Acta Ophthalmol Scand 1998; 76:573-578.
13. Diamond JG, Kaplan HJ. Lensectomy and vitrectomy for complicated cataract secondary to uveitis. Arch Ophthalmol 1978; 96:1798-1804.
14. Androudi S, Ahmed M, Fiore T, et al. Combined pars plana vitrectomy and phacoemulsification to restore visual acuity in patients with chronic uveitis. J Cataract Refract Surg 2005; 31:472-478.
15. Goldman JM, Karp CL. Adjunct devices for managing challenging cases in cataract surgery: pupil expansion and stabilization of the capsular bag. Curr Opin Ophthalmol 2007; 18:44-51.
16. Estafanous MF, Lowder CY, Meisler DM, et al Phacoemulsification cataract extraction and posterior chamber lens implantation in patients with uveitis. Am J Ophthalmol 2001; 131:620-625.
17. Alio JL, Chipont E, BenEzra D, et al Comparative performance of intraocular lenses in eyes with cataract and uveitis. J Cataract Refract Surg 2002; 28:2096-2108.
18. Papaliodis GN, Nguyen QD, Samson CM, et al Intraocular lens tolerance in surgery for cataracta complicata: assessment of four implant materials. Semin Ophthalmol 2002; 17:120-123.
19. Holland GN, Van Horn SD, Margolis TP. Cataract surgery with ciliary sulcus fixation of intraocular lenses in patients with uveitis. Am J Ophthalmol 1999; 128:21-30.
20. • Chieh JJ, Carlson AN, Jaffe GJ. Combined fluocinolone acetonide intraocular delivery system insertion, phacoemulsification, and intraocular lens implantation for severe uveitis. Am J Ophthalmol 2008; 146:589-594. The authors studied 15 eyes undergoing simultaneous cataract extraction and fluocinolone acetonide implant. No complications occurred during surgery. Visual acuity was markedly improved in most patients. Only a single patient had a uveitis flare within the first year of implantation. Fifteen percent of patients required glaucoma filtration surgery. The authors conclude this combined procedure may be beneficial in some patients with uveitis and cataract.
21. Acevedo S, Quinones K, Rao V, et al. Cataract surgery in children with juvenile idiopathic arthritis associated uveitis. Int Ophthalmol Clin 2008; 48:1-7.
22. Holland GN. Intraocular lens implantation in patients with juvenile rheumatoid arthritis-associated uveitis: an unresolved management issue. Am J Ophthalmol 1996; 122:255-257.
23. Probst LE, Holland EJ. Intraocular lens implantation in patients with juvenile rheumatoid arthritis. Am J Ophthalmol 1996; 122:161-170.
24. Lam LA, Lowder CY, Baerveldt G, et al Surgical management of cataracts in children with juvenile rheumatoid arthritis-associated uveitis. Am J Ophthalmol 2003; 135:772-778.
25. Rahman I, Jones NP. Long-term results of cataract extraction with intraocular lens implantation in patients with uveitis. Eye 2005; 19:191-197.
26. •• Elgohary MA, McCluskey PJ, Towler HMA, et al Outcome of phacoemulsification in patients with uveitis. Br J Ophthalmol 2007; 91:916-921. A retrospective analysis of 101 uveitic eyes undergoing cataract surgery. Cumulative probability of doubling of the visual angle was 52% over a 6-year follow-up. Posterior capsule opacification was found to be more likely in younger patients and those with hydrogel (as opposed to silicone) lenses. Major causes of vision loss were optic nerve dysfunction and macular edema.