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Cataract surgery may benefit children with uveitis

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FORT LAUDERDALE, Fla. — Cataract surgery has the potential to significantly improve visual acuity in children with chronic uveitis, according to a poster session presented at the Association for Research in Vision and Ophthalmology here.

A.Y. Hynes, MD, reviewed the charts of 25 patients with uveitis between the ages of 4 and 17 years. All had undergone cataract surgery with or without additional procedures between 1994 and 2002. The patients had been diagnosed with juvenile idiopathic arthritis-associated uveitis, idiopathic pars planitis, idiopathic panuveitis, idiopathic granulomatous uveitis, herpetic keratouveitis, idiopathic anterior uveitis or sarcoid uveitis.

Mean preoperative visual acuity was 20/155, with eight patients having a VA worse than 20/400. One week postoperatively, mean VA was 20/113, with nine patients having a VA worse than 20/400. At 1-year postop, mean VA was 20/90; two patients had VA of less than 20/400, and IOP was under control in all patients.

Early postop complications included hyphema, vitreous damage, iris bombey and giant cells on IOL implant. Late postop complications included glaucoma, posterior capsular opacity and one localized retinal detachment.