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Related Experiment Videos

Lens implant surgery in pars planitis.

J B Michelson1, M H Friedlaender, R A Nozik

  • 1Division of Ophthalmology, Scripps Clinic and Research Foundation, La Jolla, CA 92037.

Ophthalmology
|August 1, 1990
PubMed
Summary

Intraocular lens (IOL) implantation in eyes with inactive pars planitis can improve vision, but persistent inflammation may lead to complications like IOL opacification and the need for repeat procedures.

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Area of Science:

  • Ophthalmology
  • Uveitis Management
  • Intraocular Lens Implantation

Background:

  • Intraocular lens (IOL) implantation is typically contraindicated in eyes with active inflammation.
  • However, patients with resolved or "burned-out" pars planitis may be considered for IOLs.
  • Cataracts and chronic cystoid macular edema (CME) are common in these patients.

Observation:

  • A study evaluated 16 eyes of 8 patients with "burned-out" pars planitis undergoing cataract surgery with IOL implantation and pars plana vitrectomy.
  • The primary goal was to address cataracts and chronic CME.
  • Visual acuity of 20/40 or better was achieved in 60% of the eyes.

Findings:

  • Despite apparent inactivity, a persistent low-grade inflammation was observed.
  • This inflammation led to the accumulation of debris on the IOL surfaces (anterior and posterior).
  • Complications included the need for numerous YAG laser procedures and, in some cases, IOL removal or surgical cleaning.

Implications:

  • Even in "burned-out" uveitis, residual inflammation can complicate IOL implantation.
  • Careful patient selection and monitoring are crucial for managing expectations and outcomes.
  • Further research may be needed to optimize IOL strategies in these challenging cases.

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