Abstract
Objective: To evaluate the difficulties, complications and outcome of cataract surgery in patients with complicated cataract after anterior uveitis. Methods: A retrospective study on 37 patients who suffered phacoemulsification surgery for post-uveitis complicated cataract in the period 2009-2014 was performed. 43 eyes underwent surgery. Results: Posterior synechiae were present in 25 eyes. Posterior synechiolysis ensured large pupil in 15 eyes, and, in 14 eyes, the use of iris hooks or pupil expansion ring was necessary for surgery. Posterior capsule rupture was reported in 1 eye. Opacified and thick posterior capsule was noticed in 6 eyes. After surgery, transient rising of intraocular pressure was noticed in 4 eyes and prolonged postoperative inflammation was present in 3 eyes. Posterior capsule opacification was the most frequent issue (9 eyes) and cystoid macular oedema was reported in 2 eyes. Conclusions: Post-uveitis complicated cataract surgery presents specific difficulties and postoperative complications are present in these patients, like prolonged postoperative inflammation and cystoid macular oedema.
Highlights
Cataract surgery for post-uveitis cataract represents approximately 1,2% of all cataract surgery procedures in adults [1]
Anterior synechiae, atrophic iris, small anterior chamber, weak capsular bag, or zonulae are some of those aspects
Phacoemulsification surgery was performed with 2,2 mm incision with Alcon Infiniti and Alcon Constellation systems
Summary
Cataract surgery for post-uveitis cataract represents approximately 1,2% of all cataract surgery procedures in adults [1]. In most of those patients, eyes present some aspects that can produce either difficulties and complications during surgery, or short or long-term complications. Anterior synechiae, atrophic iris, small anterior chamber, weak capsular bag, or zonulae are some of those aspects. Retinal disorders (macular oedema, retinal scars, vitreoretinal interface pathology) can preexist or can occur after cataract surgery. All those factors can determine poor visual outcome after cataract surgery in these patients
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Free) 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call
