Cataract extraction and intraocular lens implantation in children with uveitis

Br J Ophthalmol. 2000 Jul;84(7):791-3. doi: 10.1136/bjo.84.7.791.

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.

MeSH terms

  • Anticoagulants / therapeutic use
  • Arthritis, Juvenile / complications*
  • Cataract / etiology
  • Cataract Extraction / methods*
  • Child
  • Child, Preschool
  • Female
  • Heparin / therapeutic use
  • Humans
  • Lens Implantation, Intraocular / methods*
  • Lenses, Intraocular
  • Male
  • Polymethyl Methacrylate
  • Prosthesis Design
  • Reoperation
  • Treatment Outcome
  • Uveitis / etiology*
  • Visual Acuity
  • Vitrectomy / methods

Substances

  • Anticoagulants
  • Heparin
  • Polymethyl Methacrylate