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The British Journal of Ophthalmology logoLink to The British Journal of Ophthalmology
. 2000 Jul;84(7):791–793. doi: 10.1136/bjo.84.7.791

Cataract extraction and intraocular lens implantation in children with uveitis

A Lundvall 1, C Zetterstrom 1
PMCID: PMC1723524  PMID: 10873997

Abstract

AIM—To evaluate the long term results of cataract surgery with intraocular lens implantation (IOL) in children with uveitis.
METHODS—The study included 10 eyes in seven children (age 3.5-10 years, mean 6.5 years). The cataract surgery included capsulorhexis of the anterior and the posterior capsule, anterior vitrectomy in some eyes, and implantation of a heparin surface modified (HSM) poly(methyl methacrylate) (PMMA) IOL into the capsular bag.
RESULTS—Follow up periods ranged from 1 to 5 years. Best corrected visual acuity after surgery reached 20/50-20/20 in all but two eyes. Opacities or membranes requiring reoperation developed in seven eyes. Glaucoma developed in three eyes after the cataract operation.
CONCLUSION—These results suggest that implantation of a HSM PMMA IOL is an alternative to correct aphakia also in children with uveitis.



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Selected References

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  1. Chung Y. M., Yeh T. S. Intraocular lens implantation following extracapsular cataract extraction in uveitis. Ophthalmic Surg. 1990 Apr;21(4):272–276. [PubMed] [Google Scholar]
  2. Dana M. R., Chatzistefanou K., Schaumberg D. A., Foster C. S. Posterior capsule opacification after cataract surgery in patients with uveitis. Ophthalmology. 1997 Sep;104(9):1387–1394. doi: 10.1016/s0161-6420(97)30126-2. [DOI] [PubMed] [Google Scholar]
  3. Flynn H. W., Jr, Davis J. L., Culbertson W. W. Pars plana lensectomy and vitrectomy for complicated cataracts in juvenile rheumatoid arthritis. Ophthalmology. 1988 Aug;95(8):1114–1119. doi: 10.1016/s0161-6420(88)33051-4. [DOI] [PubMed] [Google Scholar]
  4. Foster C. S., Barrett F. Cataract development and cataract surgery in patients with juvenile rheumatoid arthritis-associated iridocyclitis. Ophthalmology. 1993 Jun;100(6):809–817. doi: 10.1016/s0161-6420(93)31568-x. [DOI] [PubMed] [Google Scholar]
  5. Foster C. S., Fong L. P., Singh G. Cataract surgery and intraocular lens implantation in patients with uveitis. Ophthalmology. 1989 Mar;96(3):281–288. doi: 10.1016/s0161-6420(89)32898-3. [DOI] [PubMed] [Google Scholar]
  6. Foster C. S., Stavrou P., Zafirakis P., Rojas B., Tesavibul N., Baltatzis S. Intraocular lens removal from [corrected] patients with uveitis. Am J Ophthalmol. 1999 Jul;128(1):31–37. doi: 10.1016/s0002-9394(99)00139-7. [DOI] [PubMed] [Google Scholar]
  7. Foster R. E., Lowder C. Y., Meisler D. M., Zakov Z. N. Extracapsular cataract extraction and posterior chamber intraocular lens implantation in uveitis patients. Ophthalmology. 1992 Aug;99(8):1234–1241. doi: 10.1016/s0161-6420(92)31818-4. [DOI] [PubMed] [Google Scholar]
  8. Gimbel H. V., Basti S., Ferensowicz M., DeBroff B. M. Results of bilateral cataract extraction with posterior chamber intraocular lens implantation in children. Ophthalmology. 1997 Nov;104(11):1737–1743. doi: 10.1016/s0161-6420(97)30033-5. [DOI] [PubMed] [Google Scholar]
  9. Hamill M. B., Koch D. D. Pediatric cataracts. Curr Opin Ophthalmol. 1999 Feb;10(1):4–9. doi: 10.1097/00055735-199902000-00002. [DOI] [PubMed] [Google Scholar]
  10. Holland G. N. Intraocular lens implantation in patients with juvenile rheumatoid arthritis-associated uveitis: an unresolved management issue. Am J Ophthalmol. 1996 Aug;122(2):255–257. doi: 10.1016/s0002-9394(14)72017-3. [DOI] [PubMed] [Google Scholar]
  11. Häberle H., Velhagen K. H., Pleyer U. Pseudophakie bei Kindern mit juveniler Arthritis. Ophthalmologe. 1998 Dec;95(12):823–827. doi: 10.1007/s003470050360. [DOI] [PubMed] [Google Scholar]
  12. Kanski J. J. Juvenile arthritis and uveitis. Surv Ophthalmol. 1990 Jan-Feb;34(4):253–267. doi: 10.1016/0039-6257(90)90026-r. [DOI] [PubMed] [Google Scholar]
  13. Kanski J. J. Lensectomy for complicated cataract in juvenile chronic iridocyclitis. Br J Ophthalmol. 1992 Feb;76(2):72–75. doi: 10.1136/bjo.76.2.72. [DOI] [PMC free article] [PubMed] [Google Scholar]
  14. Kugelberg U., Zetterström C., Lundgren B., Syrén-Nordqvist S. Ocular growth in newborn rabbit eyes implanted with a poly(methyl methacrylate) or silicone intraocular lens. J Cataract Refract Surg. 1997;23 (Suppl 1):629–634. doi: 10.1016/s0886-3350(97)80045-4. [DOI] [PubMed] [Google Scholar]
  15. Lam D. S., Law R. W., Wong A. K. Phacoemulsification, primary posterior capsulorhexis, and capsular intraocular lens implantation for uveitic cataract. J Cataract Refract Surg. 1998 Aug;24(8):1111–1118. doi: 10.1016/s0886-3350(98)80106-5. [DOI] [PubMed] [Google Scholar]
  16. Lesueur L. C., Arné J. L., Chapotot E. C., Thouvenin D., Malecaze F. Visual outcome after paediatric cataract surgery: is age a major factor? Br J Ophthalmol. 1998 Sep;82(9):1022–1025. doi: 10.1136/bjo.82.9.1022. [DOI] [PMC free article] [PubMed] [Google Scholar]
  17. Nishi O. Incidence of posterior capsule opacification in eyes with and without posterior chamber intraocular lenses. J Cataract Refract Surg. 1986 Sep;12(5):519–522. doi: 10.1016/s0886-3350(86)80126-2. [DOI] [PubMed] [Google Scholar]
  18. Pleyer U., Pawlikowska J., Zierhut M., Lisch W., Thiel H. J. Klinik, Verlauf und Ergebnisse der Kataraktextraktion bei Uveitis. Ophthalmologe. 1992 Aug;89(4):295–300. [PubMed] [Google Scholar]
  19. Probst L. E., Holland E. J. Intraocular lens implantation in patients with juvenile rheumatoid arthritis. Am J Ophthalmol. 1996 Aug;122(2):161–170. doi: 10.1016/s0002-9394(14)72007-0. [DOI] [PubMed] [Google Scholar]
  20. Simons B. D., Siatkowski R. M., Schiffman J. C., Flynn J. T., Capó H., Muñoz M. Surgical technique, visual outcome, and complications of pediatric intraocular lens implantation. J Pediatr Ophthalmol Strabismus. 1999 May-Jun;36(3):118–124. doi: 10.3928/0191-3913-19990501-08. [DOI] [PubMed] [Google Scholar]
  21. Tessler H. H., Farber M. D. Intraocular lens implantation versus no intraocular lens implantation in patients with chronic iridocyclitis and pars planitis. A randomized prospective study. Ophthalmology. 1993 Aug;100(8):1206–1209. doi: 10.1016/s0161-6420(93)31504-6. [DOI] [PubMed] [Google Scholar]
  22. Tran V. T., Guex-Crosier Y., Herbort C. P. Effect of cataract surgery with intraocular lens implantation on inflammation in chronic uveitis: a longitudinal laser flare photometry study. Can J Ophthalmol. 1998 Aug;33(5):264–269. [PubMed] [Google Scholar]
  23. Vasavada A., Chauhan H. Intraocular lens implantation in infants with congenital cataracts. J Cataract Refract Surg. 1994 Nov;20(6):592–598. doi: 10.1016/s0886-3350(13)80644-x. [DOI] [PubMed] [Google Scholar]
  24. Vasavada A., Desai J. Primary posterior capsulorhexis with and without anterior vitrectomy in congenital cataracts. J Cataract Refract Surg. 1997;23 (Suppl 1):645–651. doi: 10.1016/s0886-3350(97)80048-x. [DOI] [PubMed] [Google Scholar]
  25. Wolf M. D., Lichter P. R., Ragsdale C. G. Prognostic factors in the uveitis of juvenile rheumatoid arthritis. Ophthalmology. 1987 Oct;94(10):1242–1248. doi: 10.1016/s0161-6420(87)80007-6. [DOI] [PubMed] [Google Scholar]
  26. Zetterström C., Kugelberg U., Lundgren B., Syrén-Nordqvist S. After-cataract formation in newborn rabbits implanted with intraocular lenses. J Cataract Refract Surg. 1996 Jan-Feb;22(1):85–88. doi: 10.1016/s0886-3350(96)80275-6. [DOI] [PubMed] [Google Scholar]
  27. Zetterström C., Kugelberg U., Oscarson C. Cataract surgery in children with capsulorhexis of anterior and posterior capsules and heparin-surface-modified intraocular lenses. J Cataract Refract Surg. 1994 Nov;20(6):599–601. doi: 10.1016/s0886-3350(13)80645-1. [DOI] [PubMed] [Google Scholar]

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