| Cataract surgery in exudative uveitis: effectiveness of total lens removal, anterior vitrectomy, and scleral fixation of PC IOLs. | |
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MedLine Citation:
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PMID: 18320514 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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PURPOSE: Cataract surgery in exudative uveitis is often followed by severe complications (pupillary seclusion/occlusion, dense posterior capsule/anterior vitreous opacification, cystoid macular edema following repeat YAG laser procedures) which often drastically limit functional recovery. Total removal of cataract, anterior vitrectomy, and scleral fixation of a posterior chamber (PC) intraocular lens (IOL) has been tried as a surgical alternative, searching for lessened postsurgical complications and a better outcome. METHODS: Group A was a cohort of 12 patients with cataract after exudative (mostly sarcoidosis and Vogt-Koyanagi-Harada) uveitis, subjected to intracapsular cataract extraction, anterior vitrectomy, and scleral fixation of PC IOLs. Group B was the control group, including 12 patients with a similar clinical condition subjected to phacoemulsification or extracapsular cataract extraction plus in the- bag or in-the-sulcus IOL implantation. Follow-up time for both groups was at least 7 years. RESULTS: Postoperative inflammatory signs were substantially less in Group A patients, from 2 days up to >7 years postsurgery. Group A patients showed no cells/exudates adhering to the IOL surfaces, no synechiae, minimal (as compared to Group B) vitreous opacifications, and significantly higher visual acuity (p=0.024 at the seventh year control). Group A patients reported less frequent relapses of uveitis postsurgery, but the relevant clinical data did not allow statistical evaluations. CONCLUSIONS: Total removal of cataract in highly exudative uveitic eyes, plus anterior vitrectomy and scleral fixation of PC IOLs, although technically a more demanding surgical procedure, proved to be safe and more effective than classical procedures. |
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Authors:
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A G Secchi |
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Publication Detail:
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Type: Clinical Trial; Journal Article |
Journal Detail:
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Title: European journal of ophthalmology Volume: 18 ISSN: 1120-6721 ISO Abbreviation: Eur J Ophthalmol Publication Date: 2008 Mar-Apr |
Date Detail:
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Created Date: 2008-03-05 Completed Date: 2008-06-03 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9110772 Medline TA: Eur J Ophthalmol Country: Italy |
Other Details:
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Languages: eng Pagination: 220-5 Citation Subset: IM |
Affiliation:
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Department of Ophthalmology, University of Padova, Padova, Italy. ag.secchi@alice.it |
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Behcet Syndrome / complications Cataract Extraction / methods* Exudates and Transudates Humans Lens Implantation, Intraocular / methods* Middle Aged Postoperative Complications / prevention & control Prospective Studies Sarcoidosis / complications Sclera / surgery* Treatment Outcome Uveitis / complications* Uveomeningoencephalitic Syndrome / complications Vitrectomy* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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