Challenges of cataract surgery in uveitis patients

Session Details

Session Title: Cataract Surgery Special Cases

Session Date/Time: Sunday 06/09/2015 | 10:30-12:30

Paper Time: 10:30

Venue: Room 10

First Author: : P.Vassileva BULGARIA

Co Author(s): :    Y. Kirilova   N. Surchev                 

Abstract Details

Purpose:

To present our experience in dealing with uveitic cataract and management of specific intra and postoperative complication in patients with different types of intraocular inflammation.

Setting:

Prof. Pashev,Specialized Eye Hospital,Sofia, Bulgaria

Methods:

A retrospective chart review was done for the period July 2013 – July 2014. Medical records of all patients with uveitis who had undergone cataract removal were reviewed. Data was gathered about the type of inflammation and cataract, preoperative medication, specific surgical steps and postoperative complications. All patients received treatment with non-steroidal anti-inflammatory agents and in some cases - steroids before surgery. Cataract removal was performed by horizontal phaco-chop technique. Patients were followed for a minimum of six months.

Results:

Eleven cases were identified:three with Bechterew's disease, two with sarcoidosis, Behcet's disease, Fuchs heterochromic iridocyclitis each, one with tuberculosis and one with herpes zoster iridocyclitis. Eight patients presented with white cataract, the others had nuclear cataracts. It was necessary to perform posterior synechiolisis in patients with Bechterew's and Behcet's disease. Preoperatively the patient with tuberculosis received tuberculostatic treatment for 9 months. One of the patients with sarcoidosis suffered from severeoptic neuritis after the surgery. In both cases with Fuchs iridocyclitis mild postoperative hyphema was observed. One patient with Becterew's developed cystic macular edema, which was treated successfully.

Conclusions:

Cataract is a common complication in uveitis. The surgical technique is of major importance for good outcome and should be based on specific individual approach depending on the type of uveitis. Preoperative and postoperative treatment plays crucial role in the cataract management of patient with uveitis.

Financial Interest:

NONE