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Combined phacoemulsification, primary intraocular lens implantation, and pars plana vitrectomy in children with uveitis
Department of Clinical Neuroscience and Rehabilitation/Ophthalmology, Institute of Neuroscience and Physiology, The Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden; Eye Clinic at Sahlgrenska University Hospital, Mölndal, Sweden.
Department of Clinical Neuroscience and Rehabilitation/Ophthalmology, Institute of Neuroscience and Physiology, The Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden; Eye Clinic at Sahlgrenska University Hospital, Mölndal, Sweden.
Eye Clinic at Sahlgrenska University Hospital, Mölndal, Sweden.
Department of Clinical Neuroscience and Rehabilitation/Ophthalmology, Institute of Neuroscience and Physiology, The Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden; Eye Clinic at Sahlgrenska University Hospital, Mölndal, Sweden.
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2015 (English)In: Ocular immunology and inflammation, ISSN 0927-3948, E-ISSN 1744-5078, Vol. 23, no 2, p. 144-151Article in journal (Refereed) Published
Abstract [en]

PURPOSE: To evaluate the outcome of combined cataract surgery with primary intraocular lens (IOL) implantation and pars plana vitrectomy (PPV) in children with uveitis.

METHODS: Data regarding visual acuity (VA), inflammatory status, medical therapy, and complications was collected from the medical charts of 17 children (21 eyes) with chronic uveitis who underwent combined cataract surgery and PPV at the Eye Clinic, Sahlgrenska/Mölndal, between 2002 and 2011.

RESULTS: Seventy-six percent of the children had juvenile idiopathic arthritis. Median preoperative VA was 1.70 logMAR and median VA after 12 months was 0.17 logMAR. Postoperatively, glaucoma developed in 7 eyes, cystoid macular edema in 3 eyes, and visual axis opacification requiring treatment in 5 eyes.

CONCLUSIONS: Although combined phacoemulsification, primary IOL implantation, and PPV in children with uveitis resulted in favorable visual outcome and stable inflammation in a majority of children, the technique should so far be reserved for uveitic cases with vitreous pathology.

Place, publisher, year, edition, pages
Taylor & Francis, 2015. Vol. 23, no 2, p. 144-151
Keywords [en]
Cataract, IOL implantation, pars plana vitrectomy, pediatric, uveitis
National Category
Ophthalmology
Identifiers
URN: urn:nbn:se:oru:diva-103789DOI: 10.3109/09273948.2014.883546ISI: 000353584700005PubMedID: 24564567Scopus ID: 2-s2.0-84928606510OAI: oai:DiVA.org:oru-103789DiVA, id: diva2:1732030
Funder
Swedish Research CouncilEuropean CommissionMarianne and Marcus Wallenberg Foundation
Note

Funding Agencies:

Swedish government ("Agreement concerning research and education of doctors")

Goteborg Medical Society

Stiftelsen Herman Svenssons fond for blinda och synsvaga

Available from: 2023-01-30 Created: 2023-01-30 Last updated: 2024-01-02Bibliographically approved

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Andersson Grönlund, Marita

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