medigraphic.com
ISSN 1561-3070 (Electronic)

2022, Number 3

<< Back Next >>

Rev Cub Oftal 2022; 35 (3)

Phacoemulsification in Patients with Uveitis

Ambou FI, Rodríguez SB, Ramos BL, Hernández SJR, Vilches LDC

Language: Spanish
References: 25
Page: 1-18
PDF size: 737.21 Kb.


ABSTRACT

Objective: To describe the performance of cataract surgery using the phacoemulsification technique in patients with uveitis.
Methods: A prospective longitudinal descriptive study was performed. The sample consisted of all patients with uveitis who underwent cataract surgery using the phacoemulsification technique, treated at the Cuban Institute of Ophthalmology "Ramón Pando Ferrer" in the period from September 2018 to September 2019.
Results: The predominant age group corresponds to the seventh decade of life, gender behaved equally, white skin color prevailed. Cataracts secondary to uveitis of non-infectious etiologies predominated and secondary glaucoma was the most frequent associated ocular disease. An adequate preoperative period influenced the improvement of visual results and the adequate control of the inflammatory response, an optimal transoperative period minimized complications, resulting in less inflammation and better visual results, and an adequate control of the inflammatory response during the postoperative period prevented the perpetuation or appearance of complications that affected the final results.
Conclusions: In cataract surgery using the phacoemulsification technique there is a close relationship between perioperative preparation and final results.


REFERENCES

  1. Tomkins-Netzer O, Talat L, Bar A, Lula A, Taylor SR, Joshi L, et al. Long-term clinical outcome and causes of vision loss in patients with uveitis. Ophthalmology. 2014;121(12):2387-92. DOI: 10.1016/j.ophtha.2014.07.007.

  2. Okhravi N, Lightman SL, Towler HM. Assessment of visual outcome after cataract surgery in patients with uveitis. Ophthalmology. 1999;106(4):710-22. DOI: 10.1016/S0161-6420(99)90155-0.

  3. Kump LI, Cervantes-Castaneda RA, Androudi SN, Foster CS, et al. Analysis of pediatric uveitis cases at a tertiary referral center. Ophthalmology. 2005;112(7):1287-92. DOI: 10.1016/j.ophtha.2005.01.044.

  4. Zhang Y, Zhu X, He W, Jiang Y, Lu Y. Efficacy of cataract surgery in patients with uveitis: a STROBE compliant article. Medicine (Baltimore) 2017;96(30):e7353. DOI: 10.1097/MD.0000000000007353.

  5. Sharief L, Lightman S, Baltinas J, Tomkins-Netzet O. Long-term effect of cataract phacoemulsification on the inflammation control and clinical outcome in uveitis patients. Clin Exp Ophthalmol. 2018;46(9):1048-54. DOI: 10.1111/ceo.13369.

  6. Chan NS, Ti SE, Chee SP. Decision-making and management of uveitic cataract. Indian J Ophthalmol. 2017;65(12):1329-39. DOI: 10.4103/ijo.IJO_740_17.

  7. Chen JL, Bhat P, Ann-Marie Lobo-Chan AM. Perioperative Management of Uveitic Cataracts. Adv Ophthalmol optom. 2019;4:325-339. DOI: 10.1016/j.yaoo.2019.04.014.

  8. Bhargava R, Kumar P, Sharma SK, Kumar M, Kaur A. Phacoemulsification versus small incision cataract surgery in patients with uveitis. Int J ophthalmol. 2015;8(5):965-70. DOI: 10.3980/j.issn.2222-3959.2015.05.20.

  9. Pålsson S, Andersson Grönlund M, Skiljic D, Zetterberg M. Phacoemulsification with primary implantation of an intraocular lens in patients with uveítis. Clinical Ophthalmology. 2017;11:1549-55. DOI: 10.2147/OPTH.S143886.

  10. Balta O, Sungur G, Acar MA. Long-term results of cataract surgery in patients with anterior uveitis. Int Ophthalmol. 2018;38:1399-407. DOI: 10.1007/s10792-017-0598-z.

  11. Chan NS, Ti SE, Chee SP. Decision-making and management of uveitic cataract. Indian J Ophthalmol. 2017;65(12):1329-39. DOI: 10.4103/ijo.IJO_740_17.

  12. Lobo AM, Papaliodis GN. Perioperative evaluation and management of cataract surgery in uveitis patients. Int Ophthalmol Clin. 2010;50(1):129-37. DOI: 10.1097/IIO.0b013e3181c5539d.

  13. El Gharbawy SA, Darwish EA, Abu Eleinen KG, Osman MH. Efficacy of addition of nepafenac 0.1% to steroid eye drops in prevention of post-phaco macular edema in high-risk eyes. Eur J Ophthalmol. 2019;29(4):453-7. DOI: 10.1177/1120672118799626.

  14. Yalçindag FN, Özdal PC, Özyazgan Y, Batioglu F, Tugal-Tutkun I, Group BS. Demographic and clinical characteristics of uveitis in Turkey: the first national registry report. Ocul Immunol Inflamm. 2018;26(1):17-26. DOI: 10.1080/09273948.2016.1196714.

  15. Foster CS, Kothari S, Anesi SD, Vitale AT, Chu D, Metzinger JL, et al. The ocular immunology and Uveitis Foundation preferred practice patterns of uveitis management. Surv Ophthalmol. 2016;61(1):1-17. DOI: 10.1016/j.survophthal.2015.07.001.

  16. Cerqueira PM, Gaspar C, da Silva FTB, Carricondo PC, Olivalves E, Hirata CE, et al. Resultado de la facoemulsificación en pacientes con uveítis en un centro de atención terciaria en Sao Paulo, Brasil: revisión de casos desde el 2007 hasta 2012. Arq Bras Oftalmol. 2017;80(2):104-7. Disponible en: https://www.scielo.br/j/abo/a/SgSqpRPjyZNJjgDbzybZ4WQ/?lang=en16.

  17. Ozates S, Berker N, Ozdal PC, Erol YO. Phacoemulsification in patients with uveitis: long-term outcomes. BMC Ophthalmology. 2020;20:109. Disponible en: https://bmcophthalmol.biomedcentral.com/articles/10.1186/s12886-020-01373-517.

  18. Dada T, Dhawan M, Garg S, Nair S, Mandal S. Safety and efficacy of intraoperative intravitreal injection of triamcinolone acetonide injection after phacoemulsification in cases of uveitic cataract. J Cataract Refract Surg. 2007;33(9):1613-8. DOI: 10.1016/j.jcrs.2007.04.029.

  19. Mehta S, Linton MM, Kempen JH. Outcomes of cataract surgery in patients with uveitis: a systematic review and meta-analysis. Am J Ophthalmol. 2014;158(4):676-92. DOI: 10.1016/j.ajo.2014.06.018.

  20. Fang W, Zhou H, Yang P, Huang X, Wang L, Kijlstra A. Longitudinal quantification of aqueous flare and cells in Vogt-Koyanagi-Harada disease. Br J Ophthalmol. 2008;92(2):182-5. DOI: 10.1136/bjo.2007.128967.

  21. Abbouda A, Tortorella P, Restivo L, Santoro E, De Marco F, La Cava M. Follow-up study of over three years of patients with uveitis after cataract phacoemulsification: outcomes and complications. Semin Ophthalmol. 2016;31(6):532-41. DOI: 10.3109/08820538.2015.1009554.

  22. Kosker M, Sungur G, Celik T, Unlu N, Simsek S. Phacoemulsification with intraocular lens implantation in patients with anterior uveitis. J Cataract Refract Surg. 2013;39(7):1002-7. DOI: 10.1016/j.jcrs.2013.02.053.

  23. Yamane Cde L, Vianna RN, Cardoso GP, Deschenes J, Burnier MN Jr. Cataract extraction using the phacoemulsification technique in patients with uveitis. Arq Bras Oftalmol. 2007;70(4):683-8. DOI: 10.1590/s0004-27492007000400020.

  24. Agrawal R, Murthy S, Ganesh SK, Phaik CS, Sangwan V, Biswas J. Cataract surgery in uveitis. Int J Inflamm. 2012;2012:548453. DOI: 10.1155/2012/548453.

  25. Sharief LAT. Local and systemic factors impacting on visual outcome in uveitis [Tesis doctoral]. [London]: UCL (University College London), 2016. [acceso 26/06/2018]. Disponible en: http://discovery.ucl.ac.uk/1527544/25.




2020     |     www.medigraphic.com