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Long-term results of cataract surgery in patients with anterior uveitis

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Abstract

Purpose

This study was aimed to assess the long-term results of phacoemulsification and posterior chamber intraocular lens implantation in patients with anterior uveitis.

Methods

Patients with complicated cataract secondary to anterior uveitis who underwent phacoemulsification and posterior chamber intraocular lens implantation were included in this study. Long-term results and all complications were evaluated throughout the postoperative 4 years.

Results

A total of 55 eyes of 48 patients were identified in this study. Cases with anterior uveitis were categorised into four aetiologic groups. Of the 55 eyes, 22 (19 patients) had idiopathic anterior uveitis, 10 (9 patients) had viral anterior uveitis, 10 (9 patients) had Fuchs’ anterior uveitis and 13 (11 patients) had anterior uveitis associated with collagen vascular diseases. Preoperative macular oedema was more frequent (63.6%) in the idiopathic group than in the other groups (p < 0.001). The success rates of the best corrected visual acuity of 20/40 or better ranged from 80.0 to 100.0% in the groups. While postoperative increased intraocular pressure rate was statistically significantly higher in the Fuchs’ group (p = 0.047), there was no statistically significant difference in other complication rates between the groups.

Conclusions

The long-term outcomes of phacoemulsification with intraocular lens implantation in patients with uveitic cataract were satisfactory with excellent visual acuity and relatively low complication rates.

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Abbreviations

BCVA:

Best corrected visual acuity

IOL:

Intraocular lens implantation

PCIOL:

Posterior chamber intraocular lens implantation

IOP:

Intraocular pressure

OCT:

Optic coherence tomography

CME:

Cystoid macular oedema

FFA:

Fundus fluorescein angiography

HSV:

Herpes simplex virus

PCO:

Posterior capsule opacification

Nd:YAG:

Nd:YAG (neodymium-doped yttrium aluminium garnet)

ERM:

Epiretinal membrane

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Author information

Authors and Affiliations

  1. Department of Ophthalmology, Dr. Nafiz Korez Sincan State Hospital, Ankara, Turkey

    Ozgur Balta

  2. Department of Ophthalmology, Ankara Training and Research Hospital, Ankara, Turkey

    Gulten Sungur, Mehmet Akif Acar, Mehmet Yakin & Firdevs Ornek

  3. Department of Ophthalmology, Ankara Diskapi Training and Research Hospital, Ankara, Turkey

    Mustafa Kosker

Authors
  1. Ozgur Balta
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  2. Gulten Sungur
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  3. Mehmet Akif Acar
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  4. Mustafa Kosker
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  5. Mehmet Yakin
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  6. Firdevs Ornek
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Correspondence to Ozgur Balta.

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Balta, O., Sungur, G., Acar, M.A. et al. Long-term results of cataract surgery in patients with anterior uveitis. Int Ophthalmol 38, 1399–1407 (2018). https://doi.org/10.1007/s10792-017-0598-z

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  • DOI: https://doi.org/10.1007/s10792-017-0598-z

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