Indian Journal of Public Health Research & Development

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A Retrospective Study of Cataract Surgery in Patients with Uveitis


Affiliations
1 Santosh Medical College and Hospital, Ghaziabad, U.P., India
2 Rotary Eye Hospital, Palampur, H.P., India
3 Santosh Medical College & Hospital, Ghaziabad, U.P., India
     

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Purpose: To study visual outcome of cataract surgery in patients with uveitic cataract.

Method: A retrospective study of 27 patients who underwent cataract surgery with posterior chamber intraocular lens implantation for uveitic cataract after a quiet postoperative period of minimum 3 months.

Results: The mean age was 50.88. The mean follow up period was 8.66 months. SICS with PCIOL implantation had a significantly lower postoperative inflammation when compared to ECCE group (Chi square test, P= 0.003). When uveitis was well controlled for a minimum of three months, preoperative medications did not have a significant effect on post-operative inflammation (Chi square test, P=0.796). Patients in SICS with PCIOL group had slightly better visual acuity at 6 months. PCO (36.36%), persistent uveitis and macular edema (22.72%) were the most common causes of reduced vision in postoperative period.

Conclusion: Cataract surgery with IOL is safe in cataracts due to uveitis. SICS being faster, less expensive, and less technology dependent than phacoemulsification, may be more appropriate technique in such patients in developing countries like India.


Keywords

Uveitis, Small Incision Cataract Surgery (SICS), Extra Capsular Cataract Extraction (ECCE), Posterior Capsule Opacification (PCO)
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  • A Retrospective Study of Cataract Surgery in Patients with Uveitis

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Authors

Rahul Bhargava
Santosh Medical College and Hospital, Ghaziabad, U.P., India
Prachi Kumar
Santosh Medical College and Hospital, Ghaziabad, U.P., India
S K Sharma
Rotary Eye Hospital, Palampur, H.P., India
Anuraag Mishra
Santosh Medical College & Hospital, Ghaziabad, U.P., India

Abstract


Purpose: To study visual outcome of cataract surgery in patients with uveitic cataract.

Method: A retrospective study of 27 patients who underwent cataract surgery with posterior chamber intraocular lens implantation for uveitic cataract after a quiet postoperative period of minimum 3 months.

Results: The mean age was 50.88. The mean follow up period was 8.66 months. SICS with PCIOL implantation had a significantly lower postoperative inflammation when compared to ECCE group (Chi square test, P= 0.003). When uveitis was well controlled for a minimum of three months, preoperative medications did not have a significant effect on post-operative inflammation (Chi square test, P=0.796). Patients in SICS with PCIOL group had slightly better visual acuity at 6 months. PCO (36.36%), persistent uveitis and macular edema (22.72%) were the most common causes of reduced vision in postoperative period.

Conclusion: Cataract surgery with IOL is safe in cataracts due to uveitis. SICS being faster, less expensive, and less technology dependent than phacoemulsification, may be more appropriate technique in such patients in developing countries like India.


Keywords


Uveitis, Small Incision Cataract Surgery (SICS), Extra Capsular Cataract Extraction (ECCE), Posterior Capsule Opacification (PCO)

References