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ISSN 1561-3194 (Electronic)

2022, Number 3

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Rev Ciencias Médicas 2022; 26 (3)

Visual outcomes in Cataract Surgery in patients with uveitis

Ramos-Iglesias E, Naranjo-Valladares BT, Pérez-González H, Moreno-González LM, Fernández-Rivero C, Acosta-Candelaria P

Language: Spanish
References: 20
Page: 1-12
PDF size: 569.19 Kb.


ABSTRACT

Introduction: the visual results of cataract surgery in patients with uveitis are less predictable.
vObjective: to analyze the visual outcomes of patients with uveitis operated on cataract in Pinar del Rio province between January 2018 and August 2020.
Methods: an observational, analytical cohort study was conducted at Abel Santamaria Cuadrado General Teaching Hospital in Pinar del Rio province. The target group comprised the patients with uveitis who attended the ocular infections and inflammations consultation and who underwent cataract surgery; the sample included 42 eyes of 42 patients. For the statistical analysis we used Chi-square of independence, Fisher's exact probability and relative risk with its confidence interval; a statistical significance of 95 % was used.
Results: the eyes achieved a final visual acuity higher than 0.3 (83,3 %). Visual outcome showed no differences according to age group (p=0,679), sex (p=0,690), skin color (p=1,000), area of residence (p=1,000) and preoperative visual acuity (p=0,569). There were significant differences according to anatomical classification (p<0,001), surgical technique (p=0,011) and intraoperative complications (p=0,002). Visual outcome and postoperative complications showed no association.
Conclusion: cataract surgery in patients with uveitis achieves an evident improvement in final visual acuity; results are favorable in cases of anterior uveitis, treated with phacoemulsification and absence of intraoperative complications.


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