Management of cataract in uveitis patients
PURPOSE OF REVIEWThis review is timely because the outcomes of surgical invention in uveitic eyes with cataract can be optimized with adherence to strict anti-inflammatory principles. RECENT FINDINGSAll eyes should be free of any cell/ flare for a minimum of 3 months preoperatively. Another helpful...
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Veröffentlicht in: | Current opinion in ophthalmology 2018-01, Vol.29 (1), p.69-74 |
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description | PURPOSE OF REVIEWThis review is timely because the outcomes of surgical invention in uveitic eyes with cataract can be optimized with adherence to strict anti-inflammatory principles.
RECENT FINDINGSAll eyes should be free of any cell/ flare for a minimum of 3 months preoperatively. Another helpful maneuver is to place dexamethasone in the infusion fluid or triamcinolone intracamerally at the end of surgery. Recent reports about the choice of intraocular lens material or lens design are germane to the best surgical outcome. Integrating these findings will promote better visual outcomes and allow advancement in research to further refine these surgical interventions in high-risk uveitic eyes.
SUMMARYControl of inflammation has been shown to greatly improve postoperative outcomes in patients with uveitis. Despite better outcomes, more scientific research needs to be done regarding lens placement and materials and further research needs to adhere to the standardized reporting of uveitis nomenclature. Future studies should improve postoperative outcomes in eyes with uveitis so that they approach those of eyes undergoing routine cataract procedures. |
doi_str_mv | 10.1097/ICU.0000000000000438 |
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RECENT FINDINGSAll eyes should be free of any cell/ flare for a minimum of 3 months preoperatively. Another helpful maneuver is to place dexamethasone in the infusion fluid or triamcinolone intracamerally at the end of surgery. Recent reports about the choice of intraocular lens material or lens design are germane to the best surgical outcome. Integrating these findings will promote better visual outcomes and allow advancement in research to further refine these surgical interventions in high-risk uveitic eyes.
SUMMARYControl of inflammation has been shown to greatly improve postoperative outcomes in patients with uveitis. Despite better outcomes, more scientific research needs to be done regarding lens placement and materials and further research needs to adhere to the standardized reporting of uveitis nomenclature. Future studies should improve postoperative outcomes in eyes with uveitis so that they approach those of eyes undergoing routine cataract procedures.</description><identifier>ISSN: 1040-8738</identifier><identifier>EISSN: 1531-7021</identifier><identifier>DOI: 10.1097/ICU.0000000000000438</identifier><identifier>PMID: 29095715</identifier><language>eng</language><publisher>United States: Copyright Wolters Kluwer Health, Inc. All rights reserved</publisher><subject>Anti-Inflammatory Agents - therapeutic use ; Cataract - complications ; Cataract Extraction - methods ; Disease Management ; Female ; Humans ; Uveitis - complications ; Uveitis - drug therapy ; Visual Acuity</subject><ispartof>Current opinion in ophthalmology, 2018-01, Vol.29 (1), p.69-74</ispartof><rights>Copyright © 2018 Wolters Kluwer Health, Inc. All rights reserved.</rights><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3568-926f9b934c8121557ebe449a491b93e608bcfa46089cf15d72eaa58d39743f9b3</citedby><cites>FETCH-LOGICAL-c3568-926f9b934c8121557ebe449a491b93e608bcfa46089cf15d72eaa58d39743f9b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29095715$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Conway, Mandi D</creatorcontrib><creatorcontrib>Stern, Ethan</creatorcontrib><creatorcontrib>Enfield, David B</creatorcontrib><creatorcontrib>Peyman, Gholam A</creatorcontrib><title>Management of cataract in uveitis patients</title><title>Current opinion in ophthalmology</title><addtitle>Curr Opin Ophthalmol</addtitle><description>PURPOSE OF REVIEWThis review is timely because the outcomes of surgical invention in uveitic eyes with cataract can be optimized with adherence to strict anti-inflammatory principles.
RECENT FINDINGSAll eyes should be free of any cell/ flare for a minimum of 3 months preoperatively. Another helpful maneuver is to place dexamethasone in the infusion fluid or triamcinolone intracamerally at the end of surgery. Recent reports about the choice of intraocular lens material or lens design are germane to the best surgical outcome. Integrating these findings will promote better visual outcomes and allow advancement in research to further refine these surgical interventions in high-risk uveitic eyes.
SUMMARYControl of inflammation has been shown to greatly improve postoperative outcomes in patients with uveitis. Despite better outcomes, more scientific research needs to be done regarding lens placement and materials and further research needs to adhere to the standardized reporting of uveitis nomenclature. Future studies should improve postoperative outcomes in eyes with uveitis so that they approach those of eyes undergoing routine cataract procedures.</description><subject>Anti-Inflammatory Agents - therapeutic use</subject><subject>Cataract - complications</subject><subject>Cataract Extraction - methods</subject><subject>Disease Management</subject><subject>Female</subject><subject>Humans</subject><subject>Uveitis - complications</subject><subject>Uveitis - drug therapy</subject><subject>Visual Acuity</subject><issn>1040-8738</issn><issn>1531-7021</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kE1LAzEQhoMotlb_gcgeRdiabJJNcpTiR6HixZ5DNp21q_tlkrX4701pFfHgXGaYed534EXonOApwUpcz2fLKf5djMoDNCacklTgjBzGGTOcSkHlCJ14_7plsOTHaJQprLggfIyuHk1rXqCBNiRdmVgTjDM2JFWbDB9QhconvQlVPPtTdFSa2sPZvk_Q8u72efaQLp7u57ObRWopz2WqsrxUhaLMSpIRzgUUwJgyTJG4hRzLwpaGxa5sSfhKZGAMlyuqBKNRSSfocufbu-59AB90U3kLdW1a6AaviRKUcco5iSjbodZ13jsode-qxrhPTbDepqRjSvpvSlF2sf8wFA2sfkTfsURA7oBNVwdw_q0eNuD0Gkwd1v97fwGySXF9</recordid><startdate>201801</startdate><enddate>201801</enddate><creator>Conway, Mandi D</creator><creator>Stern, Ethan</creator><creator>Enfield, David B</creator><creator>Peyman, Gholam A</creator><general>Copyright Wolters Kluwer Health, Inc. All rights reserved</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201801</creationdate><title>Management of cataract in uveitis patients</title><author>Conway, Mandi D ; Stern, Ethan ; Enfield, David B ; Peyman, Gholam A</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3568-926f9b934c8121557ebe449a491b93e608bcfa46089cf15d72eaa58d39743f9b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Anti-Inflammatory Agents - therapeutic use</topic><topic>Cataract - complications</topic><topic>Cataract Extraction - methods</topic><topic>Disease Management</topic><topic>Female</topic><topic>Humans</topic><topic>Uveitis - complications</topic><topic>Uveitis - drug therapy</topic><topic>Visual Acuity</topic><toplevel>online_resources</toplevel><creatorcontrib>Conway, Mandi D</creatorcontrib><creatorcontrib>Stern, Ethan</creatorcontrib><creatorcontrib>Enfield, David B</creatorcontrib><creatorcontrib>Peyman, Gholam A</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Current opinion in ophthalmology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Conway, Mandi D</au><au>Stern, Ethan</au><au>Enfield, David B</au><au>Peyman, Gholam A</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Management of cataract in uveitis patients</atitle><jtitle>Current opinion in ophthalmology</jtitle><addtitle>Curr Opin Ophthalmol</addtitle><date>2018-01</date><risdate>2018</risdate><volume>29</volume><issue>1</issue><spage>69</spage><epage>74</epage><pages>69-74</pages><issn>1040-8738</issn><eissn>1531-7021</eissn><abstract>PURPOSE OF REVIEWThis review is timely because the outcomes of surgical invention in uveitic eyes with cataract can be optimized with adherence to strict anti-inflammatory principles.
RECENT FINDINGSAll eyes should be free of any cell/ flare for a minimum of 3 months preoperatively. Another helpful maneuver is to place dexamethasone in the infusion fluid or triamcinolone intracamerally at the end of surgery. Recent reports about the choice of intraocular lens material or lens design are germane to the best surgical outcome. Integrating these findings will promote better visual outcomes and allow advancement in research to further refine these surgical interventions in high-risk uveitic eyes.
SUMMARYControl of inflammation has been shown to greatly improve postoperative outcomes in patients with uveitis. Despite better outcomes, more scientific research needs to be done regarding lens placement and materials and further research needs to adhere to the standardized reporting of uveitis nomenclature. Future studies should improve postoperative outcomes in eyes with uveitis so that they approach those of eyes undergoing routine cataract procedures.</abstract><cop>United States</cop><pub>Copyright Wolters Kluwer Health, Inc. All rights reserved</pub><pmid>29095715</pmid><doi>10.1097/ICU.0000000000000438</doi><tpages>6</tpages></addata></record> |
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subjects | Anti-Inflammatory Agents - therapeutic use Cataract - complications Cataract Extraction - methods Disease Management Female Humans Uveitis - complications Uveitis - drug therapy Visual Acuity |
title | Management of cataract in uveitis patients |
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