Management of coincident cataract and uveitis : Current Opinion in Ophthalmology

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Cataract surgery and lens implantation

Management of coincident cataract and uveitis

Foster, Charles Stephen MD, FACS; Rashid, Saadia

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Current Opinion in Ophthalmology 14(1):p 1-6, February 2003.


Cataract surgery in a patient with uveitis is more complex than senile cataract extraction, because it involves multiple considerations related to the cause of uveitis, prospects of visual rehabilitation, appropriate surgical timing and technique, and the type and material of the intraocular lens used. Establishing the diagnosis, thorough eye examination, careful patient selection and meticulous control of perioperative inflammation are key elements to a successful visual outcome. Our aims in this article are to review the literature on this subject over the past year and highlight the behavior of intraocular lenses of various biomaterials in the uveitic eye. In addition, we also reemphasize the idea of a model of zero tolerance to intraocular inflammation to minimize the incidence of irreversible damage to ocular structures essential to good vision.

© 2003 Lippincott Williams & Wilkins, Inc.

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