Titre du document / Document title

Extracapsular cataract surgery with and without intraocular lens implantation in Fuchs heterochromic cyclitis

Auteur(s) / Author(s)

O'NEILL D. ⁽¹⁾ ; MURRAY P. I. ; PATEL B. C. ; HAMILTON A. M. P. ;

Affiliation(s) du ou des auteurs / Author(s) Affiliation(s)

⁽¹⁾ Royal Hallamshire hosp., eye clin., Sheffield S10 2JF, ROYAUME-UNI

Résumé / Abstract

Purpose : To compare the surgical and postoperative complications and visual outcome of extracapsular cataract extraction (ECCE) with and without intraocular lens (IOL) implant in Fuchs heterochromic cyclitis. Methods : The records of 77 patients with Fuchs heterochromic cyclitis who had undergone ECCE were reviewed. Of a total of 77 eyes, a posterior chamber IOL (PC IOL) was implanted in 43 eyes, whereas 34 eyes did not receive an implant. Results : In the pseudophakic group, 40 (93%) eyes achieved 20/40 or better. This level also was achieved in 29 (85%) eyes not receiving an implant. Intraoperative anterior chamber hemorrhage was documented in 18 eyes but there was no correlation with preoperative gonioscopic findings. A temporary or permanent elevation of intraocular pressure was noted in five of eight eyes that had marked anterior chamber hemorrhage. Severe postoperative uveitis occurred in ten eyes and was more common in patients with glaucoma who had PC IOL implantation, but this did not adversely affect the visual outcome. Of 40 eyes with PC IOL implant, severe postoperative uveitis developed in 7. In six of these seven eyes, the implant was a three-piece lens with polypropylene haptics. Severe postoperative uveitis developed in 6 of 16 eyes with preoperative glaucoma. Five of these six eyes had a PC IOL implant. Of the 34 aphakic patients, 10 (29%) were intolerant of contact lens correction. There was no difference in the incidence of postoperative uveitis, cystoid macular edema, and development of glaucoma between the two groups. Conclusion : Implantation of PC lOLs in ECCE in patients with Fuchs heterochromic cyclitis appears to a safe procedure, but careful postoperative follow-up of intraocular pressure, particularly in patients with intraoperative hemorrhage or postoperative uveitis, is indicated. Ophthalmology 1995 ;102 :1362-1368

Revue / Journal Title

Ophthalmology   ISSN 0161-6420   CODEN OPHTDG 

Source / Source

1995, vol. 102, n^o9, pp. 1362-1368 (35 ref.)

Langue / Language

Anglais

Editeur / Publisher

Elsevier, New York, NY, ETATS-UNIS  (1976) (Revue)

Mots-clés anglais / English Keywords

Fuchs cyclitis ; Cataract ; Extraction ; Lens ; Extracapsular ; Implantation ; Lentil ; Intraocular ; Human ; Eye disease ; Uvea disease ; Lens disease ; Surgery ;

Mots-clés français / French Keywords

Cyclite hétérochromique Fuchs ; Cataracte ; Extraction ; Cristallin ; Extracapsulaire ; Implantation ; Lentille ; Intraoculaire ; Homme ; Segment antérieur pathologie ; Oeil pathologie ; Uvée pathologie ; Cristallin pathologie ; Chirurgie ;

Mots-clés espagnols / Spanish Keywords

Ciclitis Fuchs ; Catarata ; Extracción ; Cristalino ; Extracapsular ; Implantación ; Lenteja ; Intraocular ; Hombre ; Ojo patología ; Uvea patología ; Cristalino patología ; Cirugía ;

Localisation / Location

INIST-CNRS, Cote INIST : 18914, 35400005005542.0150