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Outcome of phacoemulsification in patients with uveitis

Identifieur interne : 000B40 ( PascalFrancis/Corpus ); précédent : 000B39; suivant : 000B41

Outcome of phacoemulsification in patients with uveitis

Auteurs : M. A. Elgohary ; P. J. Mccluskey ; H. M. A. Towler ; N. Okhravi ; R. P. Singh ; R. Obikpo ; S. S. Lightman

Source :

RBID : Pascal:07-0303695

Descripteurs français

English descriptors

Abstract

Aims: To examine the visual outcome and identify risk factors for postoperative uveitis, macular oedema and neodymium-doped yttrium aluminium garnet (Nd:YAG) capsulotomy after phacoemulsification and intraocular lens (IOL) implantation in patients with uveitis. Method: This is a retrospective review of the medical records of 101 eyes of 101 patients. One eye was randomly selected for inclusion in patients who had bilateral surgery. Patients with juvenile arthritis, keratouveitis and lymphoma-associated uveitis were excluded. Results: At the first postoperative and final visits, visual acuity was significantly better (p<0.001), and 64.4% and 71.3% of patients, respectively, had achieved ≥2 Snellen's lines of visual improvement. The cumulative probability of doubling of the visual angle was 52% over 6 years of follow-up, and this occurred at a higher rate in the presence of preoperative retinal or optic nerve lesions (HR (95% Cl) 4.49 (1.41 to 14.29)). Within 3 months after operation, uveitis was more likely to develop in female patients (OR (95% Cl) 6.21 (1.41 to 27.43)) and in the presence of significant intraoperative posterior synechiae (OR (95% Cl) 8.43 (1.09 to 65.41)); macular oedema was more likely to develop in patients who developed postoperative uveitis (OR (95% Cl) 7.45 (1.63 to 34.16)). Nd:YAG capsulotomy occurred at a higher rate in patients aged ≤5 years (HR (95% Cl) 2.28 (1.06, 4.93)) and in those with hydrogel lOLs (HR (95% Cl) 3.71 (1.04 to 13.20)), and occurred at a lower rate in patients who had prophylactic systemic corticosteroids (HR (95% Cl) 0.25 (0.11 to 0.59)), with plate-haptic silicone lOLs (HR (95% Cl) 0.23 (0.08 to 0.64)) and three-piece silicone lOLs (HR (95% Cl) 0.19 (0.05 to 0.74)) in comparison to those with polymethylmethacrylate lOLs. Conclusion: Most patients with uveitis achieve improved visual acuity after phacoemulsification, but an increasing rate of visual loss is observed in those with pre-existent macular or optic nerve lesions. Identifying patients who are at risk of postoperative complications should help in patient counselling and to pre-empt these complications by using preoperative prophylactic corticosteroids, careful IOL selection and postoperative intensive corticosteroids.

Notice en format standard (ISO 2709)

Pour connaître la documentation sur le format Inist Standard.

pA  
A01 01  1    @0 0007-1161
A02 01      @0 BJOPAL
A03   1    @0 Br. j. ophthalmol.
A05       @2 91
A06       @2 7
A08 01  1  ENG  @1 Outcome of phacoemulsification in patients with uveitis
A11 01  1    @1 ELGOHARY (M. A.)
A11 02  1    @1 MCCLUSKEY (P. J.)
A11 03  1    @1 TOWLER (H. M. A.)
A11 04  1    @1 OKHRAVI (N.)
A11 05  1    @1 SINGH (R. P.)
A11 06  1    @1 OBIKPO (R.)
A11 07  1    @1 LIGHTMAN (S. S.)
A14 01      @1 Moortields Eye Hospital @2 London @3 GBR @Z 1 aut. @Z 4 aut. @Z 7 aut.
A14 02      @1 Tanta University Ophthalmology Hospital @2 Tanta @3 EGY @Z 1 aut.
A14 03      @1 Royal Prince Alfred Hospital @2 Sydney, New South Wales @3 AUS @Z 2 aut. @Z 5 aut.
A14 04      @1 Whipps Cross University Hospital @2 London @3 GBR @Z 3 aut. @Z 6 aut.
A20       @1 916-921
A21       @1 2007
A23 01      @0 ENG
A43 01      @1 INIST @2 1015 @5 354000149408200220
A44       @0 0000 @1 © 2007 INIST-CNRS. All rights reserved.
A45       @0 36 ref.
A47 01  1    @0 07-0303695
A60       @1 P
A61       @0 A
A64 01  1    @0 British journal of ophthalmology
A66 01      @0 GBR
C01 01    ENG  @0 Aims: To examine the visual outcome and identify risk factors for postoperative uveitis, macular oedema and neodymium-doped yttrium aluminium garnet (Nd:YAG) capsulotomy after phacoemulsification and intraocular lens (IOL) implantation in patients with uveitis. Method: This is a retrospective review of the medical records of 101 eyes of 101 patients. One eye was randomly selected for inclusion in patients who had bilateral surgery. Patients with juvenile arthritis, keratouveitis and lymphoma-associated uveitis were excluded. Results: At the first postoperative and final visits, visual acuity was significantly better (p<0.001), and 64.4% and 71.3% of patients, respectively, had achieved ≥2 Snellen's lines of visual improvement. The cumulative probability of doubling of the visual angle was 52% over 6 years of follow-up, and this occurred at a higher rate in the presence of preoperative retinal or optic nerve lesions (HR (95% Cl) 4.49 (1.41 to 14.29)). Within 3 months after operation, uveitis was more likely to develop in female patients (OR (95% Cl) 6.21 (1.41 to 27.43)) and in the presence of significant intraoperative posterior synechiae (OR (95% Cl) 8.43 (1.09 to 65.41)); macular oedema was more likely to develop in patients who developed postoperative uveitis (OR (95% Cl) 7.45 (1.63 to 34.16)). Nd:YAG capsulotomy occurred at a higher rate in patients aged ≤5 years (HR (95% Cl) 2.28 (1.06, 4.93)) and in those with hydrogel lOLs (HR (95% Cl) 3.71 (1.04 to 13.20)), and occurred at a lower rate in patients who had prophylactic systemic corticosteroids (HR (95% Cl) 0.25 (0.11 to 0.59)), with plate-haptic silicone lOLs (HR (95% Cl) 0.23 (0.08 to 0.64)) and three-piece silicone lOLs (HR (95% Cl) 0.19 (0.05 to 0.74)) in comparison to those with polymethylmethacrylate lOLs. Conclusion: Most patients with uveitis achieve improved visual acuity after phacoemulsification, but an increasing rate of visual loss is observed in those with pre-existent macular or optic nerve lesions. Identifying patients who are at risk of postoperative complications should help in patient counselling and to pre-empt these complications by using preoperative prophylactic corticosteroids, careful IOL selection and postoperative intensive corticosteroids.
C02 01  X    @0 002B09N
C02 02  X    @0 002B09F
C03 01  X  FRE  @0 Uvéite @5 01
C03 01  X  ENG  @0 Uveitis @5 01
C03 01  X  SPA  @0 Uveitis @5 01
C03 02  X  FRE  @0 Pronostic @5 02
C03 02  X  ENG  @0 Prognosis @5 02
C03 02  X  SPA  @0 Pronóstico @5 02
C03 03  X  FRE  @0 Evolution @5 03
C03 03  X  ENG  @0 Evolution @5 03
C03 03  X  SPA  @0 Evolución @5 03
C03 04  X  FRE  @0 Phacoémulsification @5 05
C03 04  X  ENG  @0 Phacoemulsification @5 05
C03 04  X  SPA  @0 Facoemulsificación @5 05
C03 05  X  FRE  @0 Chirurgie @5 06
C03 05  X  ENG  @0 Surgery @5 06
C03 05  X  SPA  @0 Cirugía @5 06
C03 06  X  FRE  @0 Homme @5 08
C03 06  X  ENG  @0 Human @5 08
C03 06  X  SPA  @0 Hombre @5 08
C03 07  X  FRE  @0 Ophtalmologie @5 09
C03 07  X  ENG  @0 Ophthalmology @5 09
C03 07  X  SPA  @0 Oftalmología @5 09
C03 08  X  FRE  @0 Traitement @5 25
C03 08  X  ENG  @0 Treatment @5 25
C03 08  X  SPA  @0 Tratamiento @5 25
C07 01  X  FRE  @0 Oeil pathologie @5 37
C07 01  X  ENG  @0 Eye disease @5 37
C07 01  X  SPA  @0 Ojo patología @5 37
C07 02  X  FRE  @0 Uvée pathologie @5 38
C07 02  X  ENG  @0 Uvea disease @5 38
C07 02  X  SPA  @0 Uvea patología @5 38
N21       @1 197
N44 01      @1 OTO
N82       @1 OTO

Format Inist (serveur)

NO : PASCAL 07-0303695 INIST
ET : Outcome of phacoemulsification in patients with uveitis
AU : ELGOHARY (M. A.); MCCLUSKEY (P. J.); TOWLER (H. M. A.); OKHRAVI (N.); SINGH (R. P.); OBIKPO (R.); LIGHTMAN (S. S.)
AF : Moortields Eye Hospital/London/Royaume-Uni (1 aut., 4 aut., 7 aut.); Tanta University Ophthalmology Hospital/Tanta/Egypte (1 aut.); Royal Prince Alfred Hospital/Sydney, New South Wales/Australie (2 aut., 5 aut.); Whipps Cross University Hospital/London/Royaume-Uni (3 aut., 6 aut.)
DT : Publication en série; Niveau analytique
SO : British journal of ophthalmology; ISSN 0007-1161; Coden BJOPAL; Royaume-Uni; Da. 2007; Vol. 91; No. 7; Pp. 916-921; Bibl. 36 ref.
LA : Anglais
EA : Aims: To examine the visual outcome and identify risk factors for postoperative uveitis, macular oedema and neodymium-doped yttrium aluminium garnet (Nd:YAG) capsulotomy after phacoemulsification and intraocular lens (IOL) implantation in patients with uveitis. Method: This is a retrospective review of the medical records of 101 eyes of 101 patients. One eye was randomly selected for inclusion in patients who had bilateral surgery. Patients with juvenile arthritis, keratouveitis and lymphoma-associated uveitis were excluded. Results: At the first postoperative and final visits, visual acuity was significantly better (p<0.001), and 64.4% and 71.3% of patients, respectively, had achieved ≥2 Snellen's lines of visual improvement. The cumulative probability of doubling of the visual angle was 52% over 6 years of follow-up, and this occurred at a higher rate in the presence of preoperative retinal or optic nerve lesions (HR (95% Cl) 4.49 (1.41 to 14.29)). Within 3 months after operation, uveitis was more likely to develop in female patients (OR (95% Cl) 6.21 (1.41 to 27.43)) and in the presence of significant intraoperative posterior synechiae (OR (95% Cl) 8.43 (1.09 to 65.41)); macular oedema was more likely to develop in patients who developed postoperative uveitis (OR (95% Cl) 7.45 (1.63 to 34.16)). Nd:YAG capsulotomy occurred at a higher rate in patients aged ≤5 years (HR (95% Cl) 2.28 (1.06, 4.93)) and in those with hydrogel lOLs (HR (95% Cl) 3.71 (1.04 to 13.20)), and occurred at a lower rate in patients who had prophylactic systemic corticosteroids (HR (95% Cl) 0.25 (0.11 to 0.59)), with plate-haptic silicone lOLs (HR (95% Cl) 0.23 (0.08 to 0.64)) and three-piece silicone lOLs (HR (95% Cl) 0.19 (0.05 to 0.74)) in comparison to those with polymethylmethacrylate lOLs. Conclusion: Most patients with uveitis achieve improved visual acuity after phacoemulsification, but an increasing rate of visual loss is observed in those with pre-existent macular or optic nerve lesions. Identifying patients who are at risk of postoperative complications should help in patient counselling and to pre-empt these complications by using preoperative prophylactic corticosteroids, careful IOL selection and postoperative intensive corticosteroids.
CC : 002B09N; 002B09F
FD : Uvéite; Pronostic; Evolution; Phacoémulsification; Chirurgie; Homme; Ophtalmologie; Traitement
FG : Oeil pathologie; Uvée pathologie
ED : Uveitis; Prognosis; Evolution; Phacoemulsification; Surgery; Human; Ophthalmology; Treatment
EG : Eye disease; Uvea disease
SD : Uveitis; Pronóstico; Evolución; Facoemulsificación; Cirugía; Hombre; Oftalmología; Tratamiento
LO : INIST-1015.354000149408200220
ID : 07-0303695

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Pascal:07-0303695

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<div type="abstract" xml:lang="en">Aims: To examine the visual outcome and identify risk factors for postoperative uveitis, macular oedema and neodymium-doped yttrium aluminium garnet (Nd:YAG) capsulotomy after phacoemulsification and intraocular lens (IOL) implantation in patients with uveitis. Method: This is a retrospective review of the medical records of 101 eyes of 101 patients. One eye was randomly selected for inclusion in patients who had bilateral surgery. Patients with juvenile arthritis, keratouveitis and lymphoma-associated uveitis were excluded. Results: At the first postoperative and final visits, visual acuity was significantly better (p<0.001), and 64.4% and 71.3% of patients, respectively, had achieved ≥2 Snellen's lines of visual improvement. The cumulative probability of doubling of the visual angle was 52% over 6 years of follow-up, and this occurred at a higher rate in the presence of preoperative retinal or optic nerve lesions (HR (95% Cl) 4.49 (1.41 to 14.29)). Within 3 months after operation, uveitis was more likely to develop in female patients (OR (95% Cl) 6.21 (1.41 to 27.43)) and in the presence of significant intraoperative posterior synechiae (OR (95% Cl) 8.43 (1.09 to 65.41)); macular oedema was more likely to develop in patients who developed postoperative uveitis (OR (95% Cl) 7.45 (1.63 to 34.16)). Nd:YAG capsulotomy occurred at a higher rate in patients aged ≤5 years (HR (95% Cl) 2.28 (1.06, 4.93)) and in those with hydrogel lOLs (HR (95% Cl) 3.71 (1.04 to 13.20)), and occurred at a lower rate in patients who had prophylactic systemic corticosteroids (HR (95% Cl) 0.25 (0.11 to 0.59)), with plate-haptic silicone lOLs (HR (95% Cl) 0.23 (0.08 to 0.64)) and three-piece silicone lOLs (HR (95% Cl) 0.19 (0.05 to 0.74)) in comparison to those with polymethylmethacrylate lOLs. Conclusion: Most patients with uveitis achieve improved visual acuity after phacoemulsification, but an increasing rate of visual loss is observed in those with pre-existent macular or optic nerve lesions. Identifying patients who are at risk of postoperative complications should help in patient counselling and to pre-empt these complications by using preoperative prophylactic corticosteroids, careful IOL selection and postoperative intensive corticosteroids.</div>
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</fA14>
<fA14 i1="02">
<s1>Tanta University Ophthalmology Hospital</s1>
<s2>Tanta</s2>
<s3>EGY</s3>
<sZ>1 aut.</sZ>
</fA14>
<fA14 i1="03">
<s1>Royal Prince Alfred Hospital</s1>
<s2>Sydney, New South Wales</s2>
<s3>AUS</s3>
<sZ>2 aut.</sZ>
<sZ>5 aut.</sZ>
</fA14>
<fA14 i1="04">
<s1>Whipps Cross University Hospital</s1>
<s2>London</s2>
<s3>GBR</s3>
<sZ>3 aut.</sZ>
<sZ>6 aut.</sZ>
</fA14>
<fA20>
<s1>916-921</s1>
</fA20>
<fA21>
<s1>2007</s1>
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<s0>ENG</s0>
</fA23>
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<s1>INIST</s1>
<s2>1015</s2>
<s5>354000149408200220</s5>
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<s0>0000</s0>
<s1>© 2007 INIST-CNRS. All rights reserved.</s1>
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<s0>36 ref.</s0>
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<s0>07-0303695</s0>
</fA47>
<fA60>
<s1>P</s1>
</fA60>
<fA61>
<s0>A</s0>
</fA61>
<fA64 i1="01" i2="1">
<s0>British journal of ophthalmology</s0>
</fA64>
<fA66 i1="01">
<s0>GBR</s0>
</fA66>
<fC01 i1="01" l="ENG">
<s0>Aims: To examine the visual outcome and identify risk factors for postoperative uveitis, macular oedema and neodymium-doped yttrium aluminium garnet (Nd:YAG) capsulotomy after phacoemulsification and intraocular lens (IOL) implantation in patients with uveitis. Method: This is a retrospective review of the medical records of 101 eyes of 101 patients. One eye was randomly selected for inclusion in patients who had bilateral surgery. Patients with juvenile arthritis, keratouveitis and lymphoma-associated uveitis were excluded. Results: At the first postoperative and final visits, visual acuity was significantly better (p<0.001), and 64.4% and 71.3% of patients, respectively, had achieved ≥2 Snellen's lines of visual improvement. The cumulative probability of doubling of the visual angle was 52% over 6 years of follow-up, and this occurred at a higher rate in the presence of preoperative retinal or optic nerve lesions (HR (95% Cl) 4.49 (1.41 to 14.29)). Within 3 months after operation, uveitis was more likely to develop in female patients (OR (95% Cl) 6.21 (1.41 to 27.43)) and in the presence of significant intraoperative posterior synechiae (OR (95% Cl) 8.43 (1.09 to 65.41)); macular oedema was more likely to develop in patients who developed postoperative uveitis (OR (95% Cl) 7.45 (1.63 to 34.16)). Nd:YAG capsulotomy occurred at a higher rate in patients aged ≤5 years (HR (95% Cl) 2.28 (1.06, 4.93)) and in those with hydrogel lOLs (HR (95% Cl) 3.71 (1.04 to 13.20)), and occurred at a lower rate in patients who had prophylactic systemic corticosteroids (HR (95% Cl) 0.25 (0.11 to 0.59)), with plate-haptic silicone lOLs (HR (95% Cl) 0.23 (0.08 to 0.64)) and three-piece silicone lOLs (HR (95% Cl) 0.19 (0.05 to 0.74)) in comparison to those with polymethylmethacrylate lOLs. Conclusion: Most patients with uveitis achieve improved visual acuity after phacoemulsification, but an increasing rate of visual loss is observed in those with pre-existent macular or optic nerve lesions. Identifying patients who are at risk of postoperative complications should help in patient counselling and to pre-empt these complications by using preoperative prophylactic corticosteroids, careful IOL selection and postoperative intensive corticosteroids.</s0>
</fC01>
<fC02 i1="01" i2="X">
<s0>002B09N</s0>
</fC02>
<fC02 i1="02" i2="X">
<s0>002B09F</s0>
</fC02>
<fC03 i1="01" i2="X" l="FRE">
<s0>Uvéite</s0>
<s5>01</s5>
</fC03>
<fC03 i1="01" i2="X" l="ENG">
<s0>Uveitis</s0>
<s5>01</s5>
</fC03>
<fC03 i1="01" i2="X" l="SPA">
<s0>Uveitis</s0>
<s5>01</s5>
</fC03>
<fC03 i1="02" i2="X" l="FRE">
<s0>Pronostic</s0>
<s5>02</s5>
</fC03>
<fC03 i1="02" i2="X" l="ENG">
<s0>Prognosis</s0>
<s5>02</s5>
</fC03>
<fC03 i1="02" i2="X" l="SPA">
<s0>Pronóstico</s0>
<s5>02</s5>
</fC03>
<fC03 i1="03" i2="X" l="FRE">
<s0>Evolution</s0>
<s5>03</s5>
</fC03>
<fC03 i1="03" i2="X" l="ENG">
<s0>Evolution</s0>
<s5>03</s5>
</fC03>
<fC03 i1="03" i2="X" l="SPA">
<s0>Evolución</s0>
<s5>03</s5>
</fC03>
<fC03 i1="04" i2="X" l="FRE">
<s0>Phacoémulsification</s0>
<s5>05</s5>
</fC03>
<fC03 i1="04" i2="X" l="ENG">
<s0>Phacoemulsification</s0>
<s5>05</s5>
</fC03>
<fC03 i1="04" i2="X" l="SPA">
<s0>Facoemulsificación</s0>
<s5>05</s5>
</fC03>
<fC03 i1="05" i2="X" l="FRE">
<s0>Chirurgie</s0>
<s5>06</s5>
</fC03>
<fC03 i1="05" i2="X" l="ENG">
<s0>Surgery</s0>
<s5>06</s5>
</fC03>
<fC03 i1="05" i2="X" l="SPA">
<s0>Cirugía</s0>
<s5>06</s5>
</fC03>
<fC03 i1="06" i2="X" l="FRE">
<s0>Homme</s0>
<s5>08</s5>
</fC03>
<fC03 i1="06" i2="X" l="ENG">
<s0>Human</s0>
<s5>08</s5>
</fC03>
<fC03 i1="06" i2="X" l="SPA">
<s0>Hombre</s0>
<s5>08</s5>
</fC03>
<fC03 i1="07" i2="X" l="FRE">
<s0>Ophtalmologie</s0>
<s5>09</s5>
</fC03>
<fC03 i1="07" i2="X" l="ENG">
<s0>Ophthalmology</s0>
<s5>09</s5>
</fC03>
<fC03 i1="07" i2="X" l="SPA">
<s0>Oftalmología</s0>
<s5>09</s5>
</fC03>
<fC03 i1="08" i2="X" l="FRE">
<s0>Traitement</s0>
<s5>25</s5>
</fC03>
<fC03 i1="08" i2="X" l="ENG">
<s0>Treatment</s0>
<s5>25</s5>
</fC03>
<fC03 i1="08" i2="X" l="SPA">
<s0>Tratamiento</s0>
<s5>25</s5>
</fC03>
<fC07 i1="01" i2="X" l="FRE">
<s0>Oeil pathologie</s0>
<s5>37</s5>
</fC07>
<fC07 i1="01" i2="X" l="ENG">
<s0>Eye disease</s0>
<s5>37</s5>
</fC07>
<fC07 i1="01" i2="X" l="SPA">
<s0>Ojo patología</s0>
<s5>37</s5>
</fC07>
<fC07 i1="02" i2="X" l="FRE">
<s0>Uvée pathologie</s0>
<s5>38</s5>
</fC07>
<fC07 i1="02" i2="X" l="ENG">
<s0>Uvea disease</s0>
<s5>38</s5>
</fC07>
<fC07 i1="02" i2="X" l="SPA">
<s0>Uvea patología</s0>
<s5>38</s5>
</fC07>
<fN21>
<s1>197</s1>
</fN21>
<fN44 i1="01">
<s1>OTO</s1>
</fN44>
<fN82>
<s1>OTO</s1>
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<server>
<NO>PASCAL 07-0303695 INIST</NO>
<ET>Outcome of phacoemulsification in patients with uveitis</ET>
<AU>ELGOHARY (M. A.); MCCLUSKEY (P. J.); TOWLER (H. M. A.); OKHRAVI (N.); SINGH (R. P.); OBIKPO (R.); LIGHTMAN (S. S.)</AU>
<AF>Moortields Eye Hospital/London/Royaume-Uni (1 aut., 4 aut., 7 aut.); Tanta University Ophthalmology Hospital/Tanta/Egypte (1 aut.); Royal Prince Alfred Hospital/Sydney, New South Wales/Australie (2 aut., 5 aut.); Whipps Cross University Hospital/London/Royaume-Uni (3 aut., 6 aut.)</AF>
<DT>Publication en série; Niveau analytique</DT>
<SO>British journal of ophthalmology; ISSN 0007-1161; Coden BJOPAL; Royaume-Uni; Da. 2007; Vol. 91; No. 7; Pp. 916-921; Bibl. 36 ref.</SO>
<LA>Anglais</LA>
<EA>Aims: To examine the visual outcome and identify risk factors for postoperative uveitis, macular oedema and neodymium-doped yttrium aluminium garnet (Nd:YAG) capsulotomy after phacoemulsification and intraocular lens (IOL) implantation in patients with uveitis. Method: This is a retrospective review of the medical records of 101 eyes of 101 patients. One eye was randomly selected for inclusion in patients who had bilateral surgery. Patients with juvenile arthritis, keratouveitis and lymphoma-associated uveitis were excluded. Results: At the first postoperative and final visits, visual acuity was significantly better (p<0.001), and 64.4% and 71.3% of patients, respectively, had achieved ≥2 Snellen's lines of visual improvement. The cumulative probability of doubling of the visual angle was 52% over 6 years of follow-up, and this occurred at a higher rate in the presence of preoperative retinal or optic nerve lesions (HR (95% Cl) 4.49 (1.41 to 14.29)). Within 3 months after operation, uveitis was more likely to develop in female patients (OR (95% Cl) 6.21 (1.41 to 27.43)) and in the presence of significant intraoperative posterior synechiae (OR (95% Cl) 8.43 (1.09 to 65.41)); macular oedema was more likely to develop in patients who developed postoperative uveitis (OR (95% Cl) 7.45 (1.63 to 34.16)). Nd:YAG capsulotomy occurred at a higher rate in patients aged ≤5 years (HR (95% Cl) 2.28 (1.06, 4.93)) and in those with hydrogel lOLs (HR (95% Cl) 3.71 (1.04 to 13.20)), and occurred at a lower rate in patients who had prophylactic systemic corticosteroids (HR (95% Cl) 0.25 (0.11 to 0.59)), with plate-haptic silicone lOLs (HR (95% Cl) 0.23 (0.08 to 0.64)) and three-piece silicone lOLs (HR (95% Cl) 0.19 (0.05 to 0.74)) in comparison to those with polymethylmethacrylate lOLs. Conclusion: Most patients with uveitis achieve improved visual acuity after phacoemulsification, but an increasing rate of visual loss is observed in those with pre-existent macular or optic nerve lesions. Identifying patients who are at risk of postoperative complications should help in patient counselling and to pre-empt these complications by using preoperative prophylactic corticosteroids, careful IOL selection and postoperative intensive corticosteroids.</EA>
<CC>002B09N; 002B09F</CC>
<FD>Uvéite; Pronostic; Evolution; Phacoémulsification; Chirurgie; Homme; Ophtalmologie; Traitement</FD>
<FG>Oeil pathologie; Uvée pathologie</FG>
<ED>Uveitis; Prognosis; Evolution; Phacoemulsification; Surgery; Human; Ophthalmology; Treatment</ED>
<EG>Eye disease; Uvea disease</EG>
<SD>Uveitis; Pronóstico; Evolución; Facoemulsificación; Cirugía; Hombre; Oftalmología; Tratamiento</SD>
<LO>INIST-1015.354000149408200220</LO>
<ID>07-0303695</ID>
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