|
NR 7-9/2005
|
|
|
|
|
|
|
|
|
Comparative analysis
of the eye function and complications after removal of
complicated cataract due to uveitis and senile cataract
Analiza porównawcza funkcji
oka oraz powikłań po operacji zaćmy wikłającej zapalenie błony
naczyniowej i zaćmy starczej
Piotr Jurowski, Roman Goś, Katarzyna
Kaszuba-Bartkowiak, Alicja Zeman-Miecznik
Department of Ophthalmology and Visual Rehabilitation Medical
University of Łódź
Head: prof. dr hab. med. Roman Goś |
|
|
| Summary: |
Purpose:
retrospective, comparative analysis of the effectiveness
of the results among patients who underwent removal of
complicated cataract due to uveitis and senile cataract.
Material and methods: Patients with cataract
enrolled in this study were divided into two groups.
Group 1 comprised 30 eyes with complicated cataract due
to uveitis. The main causes of uveitis were: rheumatoid
arthritis in 8 eyes, ankylosing spondylitis in 7, Reiter
syndrome in 3, psoriatic arthritis in 3, systemic
sarcoidosis in 2, post-traumatic uveitis in 1. In 6
patients (6 eyes) the etiology of uveitis was unknown.
Group 2 comprised 30 eyes with senile cataract. In 5
patients in each group there were coexisting glaucoma.
In both groups phacoemulsification or phacoaspiration
and foldable three piece IOL implantation were performed.
The follow-up period was12 months. Best corrected visual
acuity and intra and postoperative complications were
taken into consideration.
Results: There were no differences in gender and
cataract hardness between the two groups. Significantly
younger patients were in group 1 p< 0.01. Mean preop./
postop. visual acuity was better in group 2 as compared
with group 1: 0.4/ 0.8 and 0.2/ 0.5, respectively, p<
0.01. In both groups however, the preoperative visual
acuity was significantly lowest in patients with
coexisting glaucoma: group1, 0.1 p< 0.01 and in group 2:
0.25 p< 0.001. Significantly more frequent
intraoperative complications were observed in group 1 as
compared with group 2 e.g., corneal burn 10% and 6.6%,
local sphincter damage 10% and 0%, zonular rupture 10%
and 3.3% respectively. Similarly, in the late
postoperative period more frequent complications were
observed in group 1 than in group 2 e.g.: secondary
cataract 50% and 13.3%, IOL decentration 40% and 6.6%,
capsule contraction 80% and 10%, glaucoma 10% and 3.3%
respectively. Recurrence of uveitis was observed in 30%
of eyes in group 1.
Conclusions: Although the modern microsurgical
technology and IOL implantation have led to more
effective treatment of senile cataract, the surgery of
complicated cataract due to uveitis is still not free
from complications. Future surgical strategy of
complicated cataract owing to uveitis has to comprise
the most adequate qualification criteria e.g. choice of
the optimal period for surgery and the most convenient
surgical technique as well as the most effective
perioperative anti-inflammatory treatment. |
| Słowa kluczowe: |
zapalenie błony
naczyniowej, zaćma wikłająca, usunięcie zaćmy, wszczep
wewnątrzgałkowy. |
| Key words: |
uveitis, complicated
cataract, cataract removal, intraocular lens. |
|
|
|
|
|
|
