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Phaco with PC IOL yields few complications in eyes with secondary anterior uveitis
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Phacoemulsification with posterior chamber IOL implantation yielded positive visual outcomes and relatively low complication rates in eyes with anterior uveitis, according to a study.
The prospective case series included 55 eyes of 48 patients with complicated cataracts secondary to anterior uveitis. Patients’ mean age was 44.9 years.
Cataract surgery was performed after at least 3 months of disease remission. Patients were followed for 6 months after surgery. Corrected distance visual acuity, IOP, macular thickness and complications were recorded at 1 day, 1 week, and 1, 3 and 6 months postoperatively. Snellen corrected distance visual acuity values were converted to logMAR metrics.
At final follow-up, corrected distance visual acuity was 20/40 or better in 52 eyes (94.5%) and 20/20 in 33 eyes (60%).
New-onset cystoid macular edema, recurring uveitis and posterior capsule opacification were each identified in seven eyes (12.7%) after surgery.
Fibrinous anterior chamber reaction was identified in six eyes, elevated IOP in four eyes, peripheral anterior synechiae in one eye and hypotony in one eye, the authors said.
Disclosure: See the study for a full list of all authors’ relevant financial disclosures.
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