Document Detail


Corneal complications after cataract surgery in patients with rheumatoid arthritis.
MedLine Citation:
PMID:  1582218     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Peripheral ulcerative keratopathy and necrotizing scleritis have been reported in rheumatoid arthritis patients after cataract surgery, but the incidence of these complications during the immediate postoperative period is unknown. We retrospectively studied 70 patients with rheumatoid arthritis who underwent a total of 86 cataract extractions between 1973 and 1988. Only 15 of the patients had a preoperative history of keratoconjunctivitis sicca. The best corrected postoperative visual acuity was greater than or equal to 20/30 in 81% of eyes. No episodes of scleritis or peripheral ulcerative keratopathy occurred during the 8-week postoperative period. Three patients (all from the sicca group) developed diffuse superficial punctate keratopathy and/or filamentary keratitis. Results suggest that serious corneal complications after cataract surgery are uncommon in rheumatoid arthritis patients similar to the population found in our study (95% Poisson confidence interval 0-6.6%).
Authors:
R R Jones; L J Maguire
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Cornea     Volume:  11     ISSN:  0277-3740     ISO Abbreviation:  Cornea     Publication Date:  1992 Mar 
Date Detail:
Created Date:  1992-06-18     Completed Date:  1992-06-18     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  8216186     Medline TA:  Cornea     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  148-50     Citation Subset:  IM    
Affiliation:
Department of Ophthalmology, Mayo Clinic, Rochester, Minnesota 55905.
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MeSH Terms
Descriptor/Qualifier:
Aged
Arthritis, Rheumatoid / complications*
Cataract Extraction / adverse effects*
Corneal Diseases / etiology*
Female
Humans
Incidence
Keratoconjunctivitis Sicca / surgery
Male
Postoperative Complications
Retrospective Studies
Visual Acuity
Grant Support
ID/Acronym/Agency:
EY 08039/EY/NEI NIH HHS

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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