| Autor: |
ROUTLEDGE, CE, HARDING, J, TOMLINS, PJ, MURRAY, PI |
| Předmět: |
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| Zdroj: |
Acta Ophthalmologica (1755375X); Sep2010 Supplement S246, Vol. 88, p0-0, 1p |
| Abstrakt: |
Purpose Posterior capsular opacification (PCO) is commoner in uveitic eyes, yet the reasons for this are not fully understood. This study determines the incidence of PCO and Nd:YAG laser posterior capsulotomy after cataract surgery and implantation of a particular acrylic intraocular lens (IOL) in patients with uveitis, and identifies associated risk factors. Methods A retrospective case series of patients with various types of uveitis, and a consecutive cohort of patients with age‐related cataract (controls) all undergoing phakoemulsification cataract surgery and implantation of a Rayner acrylic, hydrophilic IOL. Patients were identified from theatre and laser records. Patients from both cohorts were followed up for 2 years. Results After 2 years, of the 219 control eyes identified only 4 (1.8%) had Nd:YAG capsulotomies performed. In the uveitis group, PCO occurred in 61 of 132 eyes (46.2%). Panuveitis was the commonest type of uveitis associated with the development of PCO (50.6%), and sarcoidosis (7/13 eyes, 53.8%), and Fuchs' heterochromic cyclitis (7/16 eyes, 43.8%) were the most frequently associated conditions. The use of iris retractors or synechiolysis was not associated with PCO. Nd:YAG capsulotomy was required in only 10 of the 61 uveitic eyes (16.4%) with PCO. Conclusion The Rayner acrylic, hydrophilic IOL appears to have a very low Nd:YAG rate after 2 years in patients having undergone uncomplicated phakoemulsification for age‐related cataract. Although almost 50% of uveitic eyes after 2 years developed PCO with this IOL, in the majority of those eyes it did not result in significant visual impairment as only 10 eyes required Nd:YAG capsulotomy. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
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