Cataracts and uveitis
- 1 January 2010
- journal article
- review article
- Published by Ovid Technologies (Wolters Kluwer Health) in Current Opinion in Opthalmology
- Vol. 21 (1), 10-14
- https://doi.org/10.1097/icu.0b013e328332f575
Abstract
To describe recent evidence from the literature regarding cataract surgery and lens implantation in patients with uveitis.Most uveitic patients enjoy good vision despite potentially sight-threatening complications, including cataract development. In those patients who develop cataracts, successful surgery stems from educated patient selection, careful surgical technique, and aggressive preoperative and postoperative control of inflammation. Although commonly accepted in the adult patient population, recent investigations reflect the increased tolerance for primary intraocular lens placement in the pediatric cohort. The role of absolute control of inflammation continues with greater focus on immunomodulatory therapies. However, these agents bear their own side effect and complication profiles, including recent evidence of increased mortality. As a result, localized treatment with not only these agents but also with corticosteroids offers a potential balance.Cataract extraction with intraocular lens implantation in the setting of meticulous control of inflammation can optimize visual outcome in adults and children with uveitis.Keywords
This publication has 37 references indexed in Scilit:
- Incidence of Cystoid Macular Edema after Cataract Surgery in Patients with and without Uveitis Using Optical Coherence TomographyAmerican Journal of Ophthalmology, 2009
- Intravitreal and Orbital Floor Triamcinolone Acetonide Injections in Noninfectious Uveitis: A Comparative StudyOphthalmic Research, 2009
- Comparison Between Intravitreal and Orbital Floor Triamcinolone Acetonide After Phacoemulsification in Patients With Endogenous UveitisAmerican Journal of Ophthalmology, 2009
- Cataract Surgery in Patients With Uveitic CataractTechniques in Ophthalmology, 2009
- Long-term Follow-up of Patients with Uveitis Associated with Juvenile Idiopathic Arthritis: A Cohort StudyOcular Immunology and Inflammation, 2009
- Intermediate uveitis: long-term course and visual outcomeBritish Journal of Ophthalmology, 2008
- Sutureless Combined 25-Gauge Vitrectomy, Phacoemulsification, and Posterior Chamber Intraocular Lens Implantation for Management of Uveitic Cataract Associated With Posterior Segment DiseaseRetina, 2008
- Risk Factors for Low Bone Mineral Density in Children and Adolescents with Inflammatory Bowel DiseaseDigestive Diseases and Sciences, 2008
- Outcome of lens aspiration and intraocular lens implantation in children aged 5 years and underBritish Journal of Ophthalmology, 2001
- Uveitis in childrenOcular Immunology and Inflammation, 2000