Phacoemulsification with intraocular lens implantation in juvenile idiopathic arthritis

Ophthalmic Surgery, Lasers & Imaging : the Official Journal of the International Society for Imaging in the Eye
Sudha K Ganesh, S Sudharshan

Abstract

To evaluate outcomes of phacoemulsification cataract surgery with intraocular lens (IOL) implantation in children and adults with juvenile idiopathic arthritis-associated uveitis. Charts of 7 patients (10 eyes) with juvenile idiopathic arthritis-associated uveitis who had phacoemulsification cataract surgery between December 2002 and March 2005 were analyzed. Ten eyes of 7 patients had phacoemulsification with IOL implantation done by a single surgeon. A heparin surface modified IOL was used in 7 eyes and a foldable acrylic IOL was used in 3 eyes. At final follow-up, 70% of eyes had a visual acuity of 20/40 or better and 30% had improved visual acuity to 20/60. Posterior capsular opacification was found in 2 eyes and anterior capsular fibrosis in 1 eye. Keys to success following cataract surgery in juvenile idiopathic arthritis are the age of the child, the absence of amblyopia, and strict preoperative and postoperative control of inflammation.

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Citations

Dec 4, 2013·Journal of the Formosan Medical Association = Taiwan Yi Zhi·Chang-Pin LinFung-Rong Hu
Jan 22, 2015·Journal of Pediatric Ophthalmology and Strabismus·Pavlina S KempThomas A Oetting
Apr 21, 2012·International Journal of Inflammation·Rupesh AgrawalJyotimai Biswas
Mar 25, 2016·Journal of Ophthalmic Inflammation and Infection·Sumita PhatakCarlos Pavesio
Jul 2, 2014·American Journal of Ophthalmology·Sonia MehtaJohn H Kempen
Sep 7, 2016·Ocular Immunology and Inflammation·Damien GuindoletBahram Bodaghi
Sep 7, 2016·Ocular Immunology and Inflammation·Sudha K Ganesh, Saurabh Mistry

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