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Combined Phacoemulsification, Primary Intraocular Lens Implantation, and Pars Plana Vitrectomy in Children with Uveitis.

Journal article
Authors Sara Pålsson
Alf Nyström
Lena Sjödell
Gunnar Jakobsson
Eva Byhr
Marita Andersson Grönlund
Madeleine Zetterberg
Published in Ocular immunology and inflammation
Volume 23
Issue 2
Pages 144-151
ISSN 1744-5078
Publication year 2015
Published at Institute of Neuroscience and Physiology, Department of Clinical Neuroscience and Rehabilitation
Pages 144-151
Language en
Links dx.doi.org/10.3109/09273948.2014.88...
Keywords Cataract, IOL implantation, pars plana vitrectomy, pediatric, uveitis
Subject categories Clinical Medicine

Abstract

Abstract Purpose: To evaluate the outcome of combined cataract surgery with primary intraocular lens (IOL) implantation and pars plana vitrectomy (PPV) in children with uveitis. Methods: Data regarding visual acuity (VA), inflammatory status, medical therapy, and complications was collected from the medical charts of 17 children (21 eyes) with chronic uveitis who underwent combined cataract surgery and PPV at the Eye Clinic, Sahlgrenska/Mölndal, between 2002 and 2011. Results: Seventy-six percent of the children had juvenile idiopathic arthritis. Median preoperative VA was 1.70 logMAR and median VA after 12 months was 0.17 logMAR. Postoperatively, glaucoma developed in 7 eyes, cystoid macular edema in 3 eyes, and visual axis opacification requiring treatment in 5 eyes. Conclusions: Although combined phacoemulsification, primary IOL implantation, and PPV in children with uveitis resulted in favorable visual outcome and stable inflammation in a majority of children, the technique should so far be reserved for uveitic cases with vitreous pathology.

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