Perbedaan Tajam Penglihatan Pra dan Pasca Bedah Katarak dengan Uveitis
Abstract
Background: To assess the visual outcome before and after of cataract surgery in eyes of patients with uveitis
Methods: We retrospectively reviewed the charts of 20 patients (20 eyes) with uveitis who underwent phacoemulsification cataract extraction or small incision cataract surgery with posterior chamber intraocular lens implantation at National Eye Centre of Cicendo Eye Hospital from January 2011 to April 2012. Changes in visual outcome before and after cataract surgery during subsequent visits were analyzed.
Results: A total of 20 eyes of 20 patients fulfilled the enrollment criteria for this retrospective study with an age range of 6 to 82 years mean 40,25; median, 38 . Of the patients enrolled, 75% were female and 25% were male. Of the 20 eyes enrolled in this study, 8 were normal limit in anterior and posterior segment, 10 had posterior disease and 2 had recurrent uveitis that influence visual outcome after cataract surgery.
Conclusions: Phacoemulsification cataract extraction or small incisson cataract surgery with posterior chamber intraocular lens implantation is safe in patients with uveitis. Cataract surgery in eyes with uveitis leads to an improvement of vision in the majority of cases. Severe postoperative uveitis is the most common postoperative complication for poor visual outcome after surgery. Posterior disease had influence in visual outcome after cataract surgery.
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References
Hazari A. Sangwan VS. Cataract surgery in uveitis Indian J Ophthalmol 2002;50:103-7.
Brar BS. Cataract surgery in uveitis. Grewal Eye Institute; 2007:2:1-4
Marc F., Careen Y. Phacoemulsification Cataract Extraction and Posterior Chamber Lens Implantation in. AmJ of Ophthalmol 2001;130:620-25
Meacock WR, Spalton DJ, Bender L, Antcliff R, Heatley C, Stanford MR, Grahambloch ME, Michel E, Nussenblatt RB. Steroid prophylaxis in eyes with uveitis undergoing phacoemulsification. Br J Ophthalmol 2004;88:1122–1124.
Limburg H. Monitoring Catarct surgical outcome (MCSO) for Windows 2009;version 2.4. p: 1-23.
Boer JD, Wulffraat N, Rothova A. Visual loss in uveitis of childhood. British Medical Journal 2012;100:879-83.
PP Syam, H Eleftheriadis, AG Casswel. Clinical outcome following cataract surgery in very elderly patients. Nature Publihing Group 2004;18:59-62.
Ram J, Gupta A, Kumar S, Gupta N. Phacoemulsification with intraocular lens implantation in patients with uveitis. Journal Cataract Refractive Surgery 2010;36:1283-1288.
Belair M-L, Kim SJ, Thome JE, Dunn JP, Kedhar SR, Brown DM, Jabs DA. Incidence of cystoids macular edema after cataract surgery in patient with and without uveitis using optical coherence tomography. Am J Ophthalmol 2009; 148:128-135