September 28, 2018 - HYNES - Physicians Conference
Cataracts are a common complication in patients with uveitis, secondarily either to the natural disease process in entities such as Fuchs heterochromic iridocyclitis, or due to treatment with topical, periocular, or systemic corticosteroids which are often an integral part of uveitis therapy. Patients with uveitis pose unique challenges to the cataract surgeon, both technically in approaching a case which may be complicated by posterior synechiae or zonular instability, and intellectually as perioperative decision-making with regard to ongoing and prophylactic uveitis treatment which can have a significant impact on complication rates and surgical outcomes. Special consideration must be given to these patients with regard to when and how to proceed with surgery. Thorough preoperative evaluation with thoughtful presurgical planning can help prevent intraoperative complications, and prudent perioperative medical management can minimize the risk of recurrence of inflammation, thereby improving surgical outcomes. Recommendations for preoperative, intraoperative, and post-operative considerations in these complicated patients will be presented.