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Paper Information

Journal:   BINA   Summer 2003 , Volume 8 , Number 4 (32); Page(s) 320 To 326.
 
Paper: 

POSTOPERATIVE UVEITIS FOLLOWING CATARACT SURGERY AND ITS COMPLICATIONS

 
 
Author(s):  JAFARINASAB M.R., MOHAMMADPOUR M., JAVADI M.A., SEMNANI M.A., ANISIAN A.
 
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Abstract: 

Purpose: To define the characteristics of patients who experienced postoperative uveitis following cataract surgery and its related morbidities.
Methods: In this prospective descriptive study, 126 patients who experienced postoperative uveitis following cataract surgery were examined. Of them, 110 patients had follow up examinations from 3 to 30 months (mean 11.7 months). Associated systemic and ocular disorders, type of surgery, type of intraocular lens and viscoelastic, final best corrected visual acuity, and early and late morbidities were studied.
Results: The patients included 64 (50.8%) males and 62 (49.2%) females aged 58
±14.9years. The surgery was phacoemulsification and posterior chamber intraocular lens implantation (PE+PCIOL) in 72 cases (57.1%), extracapsular cataract extraction and PCIOL (ECCE+PCIOL) in 51 cases (40.5%), and lensectomy + PCIOL in 3 cases (2.4%). Among 110 patients who committed follow up examinations, 56 cases (51%) were female and 54 cases (49%) were male. Late complications were posterior capsular opacity (PCO) in 38 cases (34.5%) and cystoid macular edema (CSME) in 4 cases (3.6%). Symptoms of uveitis occurred during 2 weeks after surgery in most of the patients (69.8%). and all patients responded well to topical or systemic steroids. Final best corrected visual acuity (BCVA) was 20/30 or better in 76 cases (69%), between 20/40 and 20/80 in 24 cases (22%), and less than 20/80 in 10 cases (9%). All cases with BCVA less than 20/80 had ocular disease such as choroidal neovascularization scar or age-related macular degeneration, advanced glaucoma, or corneal opacity.
Conclusion: Postoperative uveitis following cataract surgery has no serious late complications and final corrected visual acuity of the patients is satisfactory.

 
Keyword(s): CATARACT SURGERY, UVEITIS, COMPLICATIONS
 
References: 
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