EPOS

European Paediatric Ophthalmological Society

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CATARACT SURGERY IN CHILDREN WITH UVEITIS

Murta, J.N., Quadrado, M.J., Carvalheira, F., Silva, E.
Dept. of Pediatric Ophthalmology, University of Coimbra, Portugal

Purpose: The objective of this study was to evaluate the anatomical and functional results and complications in the surgical treatment of paediatric cataract consecutive to uveitis.
Methods: Between 1990 and 2001, 17 eyes of 14 children were submitted to cataract surgery secondary to uveitis (chronic anterior uveitis 15 eyes, 1 pars planitis and 1 pan uveitis): lensectomy via pars plicata, anterior vitrectomy and lysis anterior synechiae (13 eyes) and double capsulorhexis, extracapsular extraction, anterior vitrectomy and implantation of an heparin surfaced modified intraocular lens (4 eyes).The aphakia was corrected with soft contact lenses (7 eyes) and glasses (6 eyes). Follow-up between 3 months and 5 years.
Results: Post-op visual acuity (VA) ranged from 1/10 to 10/10 (9 eyes had a VA > 6/10). Giant cells (2 cases) and a dense membrane (1 case) over the anterior surface of the IOL were observed.
Conclusion: Lensectomy and anterior vitrectomy appears to be a safe procedure to treat cataract in children with uveitis. The use of intraocular lenses should be cautious.