Fenollosa-Romero Elena, Jeanes Emily, Freitas Ines, Enache Andra-Elena, Lockhart Rachel, Fleming Lorraine, Knott Timothy N L, Dawson Charlotte, Smith Kerry, Busse Claudia
Dick White Referrals, Six Mile Bottom, UK.
Animal Health Trust, Newmarket, UK.
Vet Ophthalmol. 2020 Jan;23(1):141-147. doi: 10.1111/vop.12699. Epub 2019 Jul 22.
To assess outcome of phacoemulsification in cats.
Records of 71 cats (82 eyes) from five referral centers were reviewed. Groups were divided by cause of cataract (congenital/juvenile [n = 32], traumatic [n = 33], and secondary to uveitis [n = 6]), and group comparisons were performed for the most common complications: postoperative ocular hypertension (POH), uveitis, corneal ulceration, synechia/dyscoria, and posterior capsular opacity (PCO) in three different time periods: immediately postoperatively, at 1-90 days, and at >90 days.
Median follow-up was 198 days (interquartile range 64-518 days). The overall visual success rate of the cats with a 12-month follow-up was 92.6% (25/27 eyes). POH occurred in 35/82 (42.6%) eyes. Immediately postoperatively, uveitis was the most common complication in 28/82 eyes (34.1%) followed by corneal ulceration in 22/82 eyes (26.8%). At 1-90 days, uveitis in 41/81 eyes (50.6%) remained the most common complication, followed by synechia/dyscoria in 21/81 eyes (25.9%), corneal ulceration in 16/81 eyes (19.7%), and PCO in 15/81 eyes (18.5%). At >90 days, PCO in 17/47 eyes (36.1%), followed by synechia/dyscoria in 16/47 eyes (34%), was the most common complications. The number of eyes with synechia/dyscoria in the trauma group was higher (13/33 [39.3%]) than in the congenital/juvenile group (5/31 [16.1%]) at 1-90 days (P = .039). No statistical difference was found for the other group comparisons. Three eyes in total were enucleated owing to endophthalmitis, post-traumatic ocular sarcoma, and secondary glaucoma.
Uveitis in the short-term and PCO and synechia/dyscoria in the long-term were the most common complications following phacoemulsification in cats.
评估猫白内障超声乳化手术的效果。
回顾了来自五个转诊中心的71只猫（82只眼）的记录。根据白内障病因分组（先天性/幼年性[n = 32]、外伤性[n = 33]和葡萄膜炎继发[n = 6]），并在三个不同时间段对最常见的并发症进行组间比较：术后即刻、术后1 - 90天和术后>90天，这些并发症包括术后高眼压（POH）、葡萄膜炎、角膜溃疡、虹膜粘连/瞳孔异常和后囊膜混浊（PCO）。
中位随访时间为198天（四分位间距64 - 518天）。随访12个月的猫的总体视觉成功率为92.6%（25/27只眼）。82只眼中有35只（42.6%）发生POH。术后即刻，葡萄膜炎是最常见的并发症，28/82只眼（34.1%）受累，其次是角膜溃疡，22/82只眼（26.8%）。在1 - 90天，葡萄膜炎在41/81只眼（50.6%）中仍是最常见的并发症，其次是虹膜粘连/瞳孔异常，21/81只眼（25.9%），角膜溃疡16/81只眼（19.7%），PCO 15/81只眼（18.5%）。在>90天时，17/47只眼（36.1%）出现PCO，其次是虹膜粘连/瞳孔异常，16/47只眼（34%），是最常见的并发症。在1 - 90天，外伤组虹膜粘连/瞳孔异常的眼数（13/33 [39.3%]）高于先天性/幼年性组（5/31 [16.1%]）（P = 0.039）。其他组间比较未发现统计学差异。共有三只眼因眼内炎、创伤后眼部肉瘤和继发性青光眼而被摘除眼球。
猫白内障超声乳化术后，短期内葡萄膜炎以及长期内PCO和虹膜粘连/瞳孔异常是最常见的并发症。
