Phacoemulsification and posterior chamber intraocular lens implantation in uveitis

We reviewed the results of posterior chamber intraocular lens (PCL) implantation following scleral tunnel incision and phacoemulsification (PE) in 28 eyes with uveitis. Best-corrected visual acuity (BCVA) improved in 89% of eyes and the final BCVA was 20/40 or better in 64% of eyes. Intraoperative complication was a posterior capsular break (3 eyes). Postoperative complications were microcorneal edema (4 eyes), anterior chamber hyphema (3 eyes), posterior capsular opacity (3 eyes), fibrinous pupillary membrane (2 eyes), iris posterior synechia (2 eyes), neovascular glaucoma (1 eye), and retinal detachment (1 eye). In two eyes of three aftercataracts, visual improvement was achieved by Nd: YAG capsulotomy. A well-planned PE and PCL implantation through scleral tunnel in uveitis was not much more dangerous than expected.