Vimala , Meenakshi B, Manu Priya
BACKGROUND Cataract surgery in a patient with uveitis is more complex than senile cataract extraction. In this study, we are trying to assess intraoperative and postoperative complications encountered during surgery for uveitic cataract and to assess the factors which affect the visual outcome MATERIALS AND METHODS The study was done in Regional institute of ophthalmology Government Ophthalmic hospital, Egmore, Chennai from August 2005 to Oct. 2007. The patients who attended the outpatient and uvea clinic were included for the study. A total of 60 patients were taken up for the study. RESULTS The intra operative complications that were encountered were dense posterior synechiae, excessive conjunctival bleeding. The immediate post op complications that were noted were anterior chamber reaction and pigment dispersion. The immediate post op visual acuity ranged from 6/9 to 6/24 in 14 patients, 6/24 to 6/60 in 22 patients, 5/60 to 2/60 in 20 patients, less than 2/60 in 4 patients. CONCLUSION Cataract associated with uveitis usually develops at early age, affecting children and young adults. A higher incidence of sub capsular cataract leads to glare and near vision difficulties. Preoperative anti-inflammatory regimen must be carefully planned for each individual patient.
