Long-term follow-up of extracapsular cataract extraction and posterior chamber intraocular lens implantation in patients with uveitis

Abstract

Objective: The objective of the study was to determine the long-term outcome of patients with uveitis who underwent extracapsular cataract extraction (ECCE) and posterior chamber intraocular lens (PCIOL) implantation.

Design: Retrospective review.

Participants: Twenty-eight patients (36 eyes).

Intervention: Extracapsular cataract extraction and PCIOL implantation.

Main outcome measures: Level of best-corrected Snellen visual acuity, change in visual acuity, length of follow-up, long-term findings, and complications.

Results: In long-term follow-up (mean, 81.4 months), 94% of eyes had visual acuity improvement compared with preoperative levels. Average change in visual acuity for all eyes was an improvement of 6.4 Snellen lines; 75% of eyes were 20/40 or better. The prevalences of cystoid macular edema (CME), epiretinal membrane (ERM), and posterior capsule opacification (PCO) were 56%, 56%, and 58%, respectively.

Conclusions: Patients with uveitis who are treated with ECCE with PCIOL implantation can have successful visual results in long-term follow-up despite the prevalence of PCO or macular abnormalities such as CME and ERM.