Published Paper


"Evaluating the Outcomes and Complications of Cataract Surgery in Patients with Uveitis: A Retrospective Cohort Study with Six-Month Follow-Up"

Kinjal Y Trivedi1, Charmi H Madhani2
Gujarat, India
Page: 1188-1198
Published on: 2024 June

Abstract

Introduction: The purpose of this research is to assess the results of cataract surgery in uveitis patients, with a particular emphasis on intraoperative and postoperative complications as well as improvements in visual acuity over a six-month follow-up period., Materials & Methods: At a tertiary care referral center in western India, a retrospective observational cohort research was carried out which included 44 eyes from 38 individuals between April 2022 and September 2023. We examined data related to demographics, etiology, the anatomic site of uveitis, and vision. A single surgeon carried out every procedure, and patients were checked on one day, one week, one month, three months, and six months after the procedure., Results: There were 17 females and 21 males, with a mean age of 36.4 years. The most prevalent kind of uveitis was intermediate (40.9%). In 88.6% of eyes, postoperative best-corrected visual acuity (BCVA) improved, with 79.54% of eyes reaching BCVA ≥ 0.1. Maximum visual gains were observed with anterior uveitis. Cystoid macular edema (CME) occurred in six eyes (13.63%), mostly in the group with intermediate uveitis. For secondary glaucoma, one eye needed a trabeculectomy, and 3 eyes developed severe vitritis in postoperative period. All patients with uveitic cataract especially with anterior uveitis benefit greatly from cataract surgery. (p <0.00001), Conclusion: The majority of people with uveitic cataract benefit from cataract surgery .To maximize visual prognosis, inflammation and CME must be identified and treated quickly and aggressively in the pre and post-operative period with long term close monitoring.

 

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