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Peri and Postoperative Management of Cataract Surgery in Eyes with Ocular Inflammation

  • Ophthalmologic Surgery (R Shwamy and L Schocket, Section Editors)
  • Published:
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Abstract

Purpose of the Review

Cataracts in the setting of uveitis provide a challenge for the ophthalmologic surgeon due to the increased risk of post-operative and intra-operative complications. This review seeks to provide information to assist in the management of these complex patients.

Recent Findings

Cataract development is the most frequent complication of uveitis and must be managed surgically to achieve improved visual acuity for the patient. Prior to surgery, a patient should be free of inflammation for a minimum of three months to minimize the chance of post-operative complications, such as recurrent uveitis, cystoid macular edema, posterior capsular opacification, and recurrence of uveitic inflammation, all of which can lead to decreased visual acuity. Quiescence can be achieved with multiple medications, including corticosteroids, methotrexate, mycophenolate mofetil, and anti-tumor necrosis factor alpha drugs, such as adalimumab and infliximab.

Summary

Uveitis patients are at higher risk for complications after cataract surgery but can still achieve good visual outcomes if inflammation and any complications that do occur are adequately managed and controlled.

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Blanchard, C., O’Keefe, G. Peri and Postoperative Management of Cataract Surgery in Eyes with Ocular Inflammation. Curr Surg Rep 10, 28–34 (2022). https://doi.org/10.1007/s40137-022-00310-3

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