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2006, Number 4

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Rev Med Hosp Gen Mex 2006; 69 (4)

Phacoemulsification and posterior chamber intraocular lens implantation in subjects with Fuchs’ heterochromic cyclitis

Tenorio G, Peña CN, Messina BO

Language: Spanish
References: 24
Page: 199-204
PDF size: 114.04 Kb.


ABSTRACT

Purpose: Fuchs' cyclitis is a non-granulomatous anterior, chronic, unilateral process mostly affecting subjects within the 3rd and 4th decades of life with unknown ethiology. Clinical features include blurred vision, iris heterochromic, keratic precipitates, low to moderate anterior chamber swelling, cataract and glaucoma. Objective: Determinate results of phacoemulsification and posterior chamber intraocular lens in patients with Fuchs' heterochromic cyclitis in the Hospital General de Mexico (HGM). Methods: An observational, descriptive, retrospective study was designed in order to determine the visual outcome with the phacoemulsification technique and posterior chamber intraocular lens implantation in subjects diagnosed with Fuchs' cyclitis. and cataract. Results: 146 files of patients with uveitis from January 2003 to June 2005 were classified and included in the study. Ten subjects were clinically diagnosed with Fuchs' cyclitis and cataract and seven had phacoemulsification and posterior chamber intraocular lens implantation. The age average was 36.7 years (ranging from 28 to 50 years), three were males and four females. During the three months follow up period three subjects improve the visual function to 20/40 and four to 20/80 (mean improvement in Snellen's chart of three lines). Two subjects developed glaucoma and needed filtering surgery and one subject had with a posterior capsule rupture with lens sulcus fixation. Preoperative normal intraocular pressures were on four patients and six in the follow up period of three months. Conclutions: Similar results were noticed from previous reports in literature. Phacoemulsification with posterior chamber lens in patients with Fuchs' cyclitis maintain a good visual acuity prognostic


REFERENCES

  1. Kimura SJ, Hogan MJ, Thygeson P. Fuchs’ syndrome of heterocromic cyclitis. Arch Ophthalmol 1955; 54: 179-186.

  2. Arellanes G., Preciado D, Parra C. Diagnóstico de Iridociclitis Heterocrómica de Fuchs en pacientes con iris de color oscuro. Rev Ophthalmol (Mex en español) 2004; 5: 14-24.

  3. Association for research in vision and ophthalmology. Immunity to a corneal antigen in Fuchs’ heterochromic cyclitis patients. Invest Ophthalmol Vis Scien 1989; 30: 443-448.

  4. Jones NP. Fuchs’ heterocromic uveitis: An update. Surv Ophthalmol 1993; 37: 253-272.

  5. La Hey E, Jong PTVM, Kijlstra. Fuchs’ heterocromic cyclitis: Review of the literature on the pathogenetic mechanisms. Br J Ophthalmol 1994; 78: 307-312.

  6. Jones NP. Cataract sugery in Fuchs’ heterochromic uveitis: Past, present, and future. J Cataract Refract Surg 1996; 22: 261-268.

  7. Liesegang TJ. Clinical features and prognosis in Fuchs’ uveitis syndrome. Arch Ophthalmol 1982; 100: 1622-1626.

  8. Hooper PL, Rao NA, Smith RE. Cataract extraction in uveitis patients. Surv Ophthalmol 1990; 35: 120-144.

  9. Muccioli C, Belfort R. Cataract surgery in patients with uveitis. Int Ophthalmol Clin 2000; 40 (2): 163-173.

  10. Burratto L et al. Cataract surgery in patients with uveitis. In: Cataract surgery in complicated cases. New Jersey: Slack Thorofare, 2000; pp. 193-206.

  11. Ward DM, Hart CT. Complicated cataract extraction in Fuchs’ heterochromic uveitis. Br J Ophthalmol 1967; 51: 530-538.

  12. Jones NP. Extracapsular cataract surgery with and without intraocular lens implantation in Fuchs’ heterochromic uveitis. Eye 1990; 4: 145-150.

  13. Soheilian M, Karimian F, Javadi MAS et al. Surgical management of cataract and implantation in Fuchs’ heterochromic uveitis:past, present, and future. J Cataract Refract Surg 1996; 22: 261-268.

  14. Jones NP. Cataract surgery usin heparin surface-modified intraocular lenses in Fuchs’ heterochromic uveitis. Ophthalmic Surg 1995; 26: 49-52.

  15. Estafanous MFG, Lowder CY, Meisler DM, Chauhan R. Phacoemulsification cataract extraction and posterior chamber lens implantation in patients with uveitis. Am J Ophthalmol 2001; 131: 620-625.

  16. Budack K, Akova YA, Yalvac I et al. Cataract sugery in patients with Fuch´s heterochromic iridocyclitis. Jpn J Ophthalmol 1999; 43: 308-311.

  17. Rao NA, Forster FJ, Spalton DJ. Complications of uveitis: medical and surgical management. In: Rao NA, Forster DJ, Augsburger JJ. The uvea. Uveitis and intraocular neoplasms. New York: Mosby, 1992.

  18. Kheireddine A, Turut P, Milazzo S. Résultats fonctionnel de la chirurgie de la cataracte avec implantation dans la cyclite héterochromique de Fuchs. J Fr Ophtalmol 1993; 16: 326-331.

  19. La Hey E, de Vries J, Langerhorst CT, Baarsma GS, Kijlstra A. Treatment and prognosis of secondary glaucoma in Fuchs’ heterochromic iridocyclitis. Am J Ophthalmol 1993; 116: 327-340.

  20. Patitsas CJ, Rockwood EJ, Meisler DM, Lowder CY. Glaucoma filtering surgery with postoperative 5-fluorouracil in patients with intraocular inflammatory disease. Ophthalmology 1992; 99: 594-599.

  21. Hill RA, Nguyen QH, Baerveldt G, Forster DJ, Minckler DS, Rao N et al. Trabeculectomy and Molteno implantation for glaucomas associated with uveitis. Ophthalmology 1993; 100: 903-908.

  22. Prata JA, Neves RA, Minckler DS et al. Trabeculectomy with mitomycin C in glaucoma associated with uveitis. Ophthalmic Surg 1994; 25: 616-620.

  23. O´Neill D, Murray Pl, Patel BC, Hamilton AMP. Extracapsular cataract surgery with and without intraocular lens implantation in Fuchs’ heterochromic cyclitis. Ophthalmology 1995; 102: 1.362-1.368.

  24. Bonfioli A, Curi A, Orefice F. Fuchs’ heterochromic cyclitis. Sem Ophthalmol 1999; 20: 143-146.




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