Urban Beata, Bakunowicz-Łazarczyk Alina
Clinic of Children Ophthalmology Medical University, Bialystok, Poland.
Klin Oczna. 2010;112(4-6):111-4.
To evaluate the visual outcome of cataract surgery with intraocular lens (IOL) implantation in children with chronic uveitis.
The records of seven children (9 eyes), with chronic uveitis who had cataract extraction with IOL implantation between 2001 and 2007, were retrospectively examined. The mean follow-up was 47.9 months, respectively. The postoperative visual outcome and complications were analyzed.
The mean age of 2 girls and 5 boys was 17.4 years (range from 12 to 21 years). 5 patients had unilateral cataract. 6 patients underwent cataract extraction with IOL implantation, one patient underwent combined cataract surgery with IOL implantation and trabeculectomy. Median age at surgery was 17.7 years. At the final follow-up examination 8 eyes (88.9%), had improved visual acuity. The visual acuity was 20/20 in one eye, 20/40 or better in 5 eyes and 20/50 in 3 eyes. Posterior capsule opacification was observed in 5 eyes, high intraocular pressure in 2 eyes and cystoid macular edema in 1 eye.
The outcomes of cataract extraction with IOL implantation in children's eyes with chronic uveitis may be satisfactory. Correct time of surgery, adequate long-term preoperative and postoperative anti-inflammatory therapy may promote good results.
评估慢性葡萄膜炎患儿白内障摘除联合人工晶状体（IOL）植入手术的视觉效果。
回顾性分析2001年至2007年间7例（9只眼）患有慢性葡萄膜炎且接受了白内障摘除联合IOL植入手术的患儿的病历。平均随访时间分别为47.9个月。分析术后视觉效果及并发症。
2名女孩和5名男孩的平均年龄为17.4岁（范围为12至21岁）。5例患者为单眼白内障。6例患者接受了白内障摘除联合IOL植入手术，1例患者接受了白内障摘除联合IOL植入及小梁切除术。手术时的中位年龄为17.7岁。在最后一次随访检查时，8只眼（88.9%）视力有所提高。1只眼视力为20/20，5只眼视力为20/40或更好，3只眼视力为20/50。5只眼观察到后囊膜混浊，2只眼出现高眼压，1只眼发生黄斑囊样水肿。
慢性葡萄膜炎患儿眼内白内障摘除联合IOL植入手术的效果可能令人满意。正确的手术时机、充分的术前及术后长期抗炎治疗可能会取得良好效果。
