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Cataract surgery in sympathetic ophthalmia.
Sudha K Ganesh1, Padmaja M Sundaram, Jyotirmay Biswas
1Sankara Nethralaya, Medical and Vision Research Foundation, Chennai, India. ganeshsugam@yahoo.com
Journal of Cataract and Refractive Surgery
|November 3, 2004
Summary
Cataract surgery in sympathetic ophthalmia patients can be successful with careful management. Visual outcomes depend on posterior segment complications from the original disease.
Area of Science:
- Ophthalmology
- Uveitis
- Cataract Surgery
Background:
- Sympathetic ophthalmia is a rare, bilateral granulomatous inflammation following ocular injury or surgery.
- Cataract formation is a known complication of sympathetic ophthalmia, impacting vision.
- Surgical outcomes for cataract in these compromised eyes require careful consideration.
Purpose of the Study:
- To evaluate the results of cataract surgery in patients diagnosed with sympathetic ophthalmia.
- To identify factors influencing visual recovery after cataract extraction in this specific patient group.
Main Methods:
- Retrospective analysis of 18 eyes (17 patients) with sympathetic ophthalmia who underwent cataract surgery.
- Procedures included extracapsular cataract extraction (ECCE) with or without intraocular lens (IOL) implantation and phacoemulsification with IOL implantation.
- Mean follow-up was 28.7 months.
Main Results:
- Visual acuity improved in 72.2% of eyes post-surgery.
- Posterior capsule opacification occurred in 77.7% of eyes, significantly impacting vision in 6 eyes.
- Submacular scarring and optic atrophy were primary factors limiting visual recovery.
Conclusions:
- Cataract extraction is feasible and can be successful in sympathetic ophthalmia patients.
- Vigilant inflammation control, meticulous surgical technique, and careful planning are crucial.
- Final visual outcomes are significantly influenced by pre-existing posterior segment damage from sympathetic ophthalmia.