Purpose: To determine the changes in anterior segment parameters in uveitic patients undergoing uncomplicated cataract surgery.
Methods: The best corrected visual acuity (BCVA), intraocular pressure (IOP), central corneal thickness (CCT), anterior chamber angle (ACA), anterior chamber depth (ACD), and axial length (AXL) of the 38 eyes of 28 well-controlled uveitic patients who underwent cataract surgery were monitored for 12 months.
Results: Mean BCVA improved significantly at the postoperative visits when compared to the baseline (all P<0.001). Mean CCT increased on the first day compared to the preoperative value (627.62±71.16 vs. 572.18±53.52 µm, P=0.015) and then returned to the preoperative value at 3 months (572.27±49.93 µm). ACA showed a significant increase postoperatively in the first month (54.65±5.52 vs. 43.50±9.13°) and then decreased at 3 months (51.85±5.52°), remaining stable afterwards (51.73±6.59° at 12 months). ACD as measured by Sirius topography and IOLMaster 500 was higher at the follow-up times compared to the preoperative value (P<0.001). AXL at 1. month was significantly lower than the preoperative level (23.14±0.74 vs. 23.54±0.68 mm, P=0.003).
Conclusion: Following successful cataract surgery in well-controlled uveitic eyes, the CCT showed a rapid increase on the first day and then decreased to the preoperative level at the third month. ACA increased in the postoperative first month and then decreased, but it was higher than the baseline at all postoperative visits. ACD increased in the postoperative first week.
Keywords: Anterior segment; Cataract; Phacoemulsification in uveitic eyes; Uveitic cataract complications; Uveitic cataract long-term follow-up.
Copyright © 2022. Published by Elsevier B.V.