Intraocular lens implantation in children with cataracts due to chronic uveitis
Session Details
Session Title: Paediatric Cataract Surgery
Session Date/Time: Sunday 15/09/2019 | 16:30-18:00
Paper Time: 17:06
Venue: Free Paper Forum: Podium 2
First Author: : M.Tekavcic Pompe SLOVENIA
Co Author(s): : S. Markelj V. Pfeifer
Abstract Details
Purpose:
To present children with chronic uveitis who had undergone cataract extraction with IOL implantation at the University Eye Hospital Ljubljana between 2010 and 2018.
Setting:
Eye Hospital, University Medical Centre Ljubljana, Slovenia.
Methods:
Retrospective case series. 10 children (14 eyes) were operated. Median age at diagnosis of uveitis was 6.3 (range: 3.5 – 10.2), 4 children had visually significant cataract at the time of presentation. Juvenile idiopathic artitis (JIA) was diagnosed in 6 children. In 4/6 children uveitis was the initial presentation of JIA. All children were treated with methotrexate and/or adalimumab. In addition, perioperative systemic and postoperative topical corticosteroids were used. Median age at the time of cataract surgery of the worse eye was 7 years (range: 4.8 – 11.9), median postoperative follow up was 3.3 years (range: 2.2 – 6.5).
Results:
In all eyes 3-piece acrylic hydrophobic intraocular lens was implanted in the capsule. Primary posterior capsulorrhexis was performed in 3/14 eyes. Postoperatively 9 eyes developed posterior capsular opacification (in 8 eyes YAG capsulotomy was performed, 1 eye underwent surgery). During follow up 3 eyes (21%) needed glaucoma operation with drainage device implantation (Baerveld valve), macular edema developed in 2 eyes (15%). At the last follow up visit 8 eyes had visual acuity 1.0, 2 eyes 0.8 and 4 eyes between 0.6 and 0.3.
Conclusions:
Cataract extraction in children with chronic uveitis can be complicated. Appropriate surgical technique, preoperative and postoperative immunosuppression and meticulous follow up is mandatory for good postoperative outcome.
Financial Disclosure:
None
