New insights into cataract surgery in patients with uveitis: A detailed review of the current literature.
| Autor: | Al-Essa RS; Department of Ophthalmology, College of Medicine, King Saud University, Riyadh, Saudi Arabia., Alfawaz AM; Department of Ophthalmology, College of Medicine, King Saud University, Riyadh, Saudi Arabia. |
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| Jazyk: | angličtina |
| Zdroj: | Saudi journal of ophthalmology : official journal of the Saudi Ophthalmological Society [Saudi J Ophthalmol] 2022 Feb 18; Vol. 36 (2), pp. 133-141. Date of Electronic Publication: 2022 Feb 18 (Print Publication: 2022). |
| DOI: | 10.4103/sjopt.sjopt_147_21 |
| Abstrakt: | Cataract is a common cause of visual impairment in uveitic eyes. The management of cataract in patients with uveitis is often challenging due to pre-existing ocular comorbidities that may limit the visual outcomes. A meticulous preoperative ophthalmic evaluation is needed to assess the concomitant ocular pathologies with special emphasis on the status of the macula and optic nerve. Preoperative control of inflammation for at least 3 months before surgery is a key prognostic factor for successful surgical outcomes. Perioperative use of systemic and topical corticosteroids along with other immunosuppressive medications is crucial to decrease the risk of postoperative inflammation and cystoid macular edema (CME). Phacoemulsification with intraocular lens implantation is the surgical option of choice for most patients with uveitic cataract. Uveitic cataracts are typically complicated by the presence of posterior synechiae and poor pupil dilation, necessitating manual stretching maneuvers or pupil expansion devices to dilate the pupil intraoperatively. Patients must be closely monitored for postoperative complications such as excessive postoperative inflammation, CME, raised intraocular pressure, hypotony, and other complications. Good outcomes can be achieved in uveitic eyes after cataract extraction with appropriate handling of perioperative inflammation. Competing Interests: There are no conflicts of interest. (Copyright: © 2022 Saudi Journal of Ophthalmology.) |
| Databáze: | MEDLINE |
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