Outcomes of cataract surgery in patients with Human Immunodeficiency Virus infection in a developing country
Purpose To report the outcomes of cataract surgery in patients with Human Immunodeficiency Virus (HIV) infection. Setting Tertiary care ophthalmic hospital Design Retrospective study Methods This study included all eyes of patients with known HIV infection undergoing cataract surgery with a minimum...
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| Veröffentlicht in: | International ophthalmology 2023-05, Vol.43 (5), p.1601-1609 |
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| creator | Sankarananthan, R. Prasad, Senthil Shekhar, Madhu Narendran, Siddharth Balakrishnan, Logesh Rathinam, S. R. |
| description | Purpose
To report the outcomes of cataract surgery in patients with Human Immunodeficiency Virus (HIV) infection.
Setting
Tertiary care ophthalmic hospital
Design
Retrospective study
Methods
This study included all eyes of patients with known HIV infection undergoing cataract surgery with a minimum follow-up of 6 months between January 2017 and December 2020. Patients who underwent combined surgeries and pediatric patients were excluded from analysis. Data were retrieved from electronic medical records and we documented demographics, history, detailed anterior and posterior segment examination, pre-operative grade and type of cataract, type of surgery done, its complication and post-operative course. All these parameters were recorded at the baseline visit and at 1 month and 6 months postoperatively.
Results
One hundred and twenty nine eyes of 107 HIV infected patients that underwent cataract surgery were evaluated. Mature cataract was seen in 31% of the eyes. Features of HIV related uveitis/retinitis were seen in 21 (16.2%) eyes. Phacoemulsification was performed in 44 (34.1%) eyes while manual small incision cataract surgery (MSICS) was done in 85 (65.9%) eyes. Intra-operative complications were encountered in 4 (3.1%) eyes. At the final follow-up, there was a significant improvement in median corrected distance visual acuity (CDVA) from LogMAR 1.08 (5/60) at baseline to LogMAR 0 (6/6) at 6 months follow-up.
Conclusion
Patients with HIV infection usually present early and with advanced cataracts. Visual outcomes after cataract surgery are generally good but affected by presence of prior HIV related uveitis or retinitis |
| doi_str_mv | 10.1007/s10792-022-02559-0 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2727637535</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2807781781</sourcerecordid><originalsourceid>FETCH-LOGICAL-c375t-3fff942780b737886d7742dd92e589ef20a6a80c81acd9655d01c41a65845f543</originalsourceid><addsrcrecordid>eNp9kU1rFTEUhoMotlb_gIsScONm6kky-ZhlKWoLhW7UbUgzSU2ZSW7zodx_31xvtcVFISEHzvO-J5wXofcETgiA_FQIyIkOQHeX82mAF-iQcMkGKhi8fFIfoDel3ALAJCfxGh0wQSVjghyi5apVm1ZXcPLYmmqysRWXlm9c3uIQ8cbU4GIt-HeoP_F5W03EF-vaYpqdD7b37Bb_CLmVTntna0hxpzN4dr_ckjYh3mCbWqx5-xa98mYp7t3De4S-f_n87ex8uLz6enF2ejlYJnkdmPd-GqlUcC2ZVErMUo50nifquJqcp2CEUWAVMXaeBOczEDsSI7gauecjO0If976bnO6aK1WvoVi3LCa61IqmkkrRRzHe0Q__obep5dh_p6kCKRXpp1N0T9mcSsnO600Oq8lbTUDvstD7LHTPQv_JQkMXHT9Yt-vVzf8kf5ffAbYHSm_FvvDH2c_Y3gMbhJS5</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2807781781</pqid></control><display><type>article</type><title>Outcomes of cataract surgery in patients with Human Immunodeficiency Virus infection in a developing country</title><source>MEDLINE</source><source>SpringerLink Journals - AutoHoldings</source><creator>Sankarananthan, R. ; Prasad, Senthil ; Shekhar, Madhu ; Narendran, Siddharth ; Balakrishnan, Logesh ; Rathinam, S. R.</creator><creatorcontrib>Sankarananthan, R. ; Prasad, Senthil ; Shekhar, Madhu ; Narendran, Siddharth ; Balakrishnan, Logesh ; Rathinam, S. R.</creatorcontrib><description>Purpose
To report the outcomes of cataract surgery in patients with Human Immunodeficiency Virus (HIV) infection.
Setting
Tertiary care ophthalmic hospital
Design
Retrospective study
Methods
This study included all eyes of patients with known HIV infection undergoing cataract surgery with a minimum follow-up of 6 months between January 2017 and December 2020. Patients who underwent combined surgeries and pediatric patients were excluded from analysis. Data were retrieved from electronic medical records and we documented demographics, history, detailed anterior and posterior segment examination, pre-operative grade and type of cataract, type of surgery done, its complication and post-operative course. All these parameters were recorded at the baseline visit and at 1 month and 6 months postoperatively.
Results
One hundred and twenty nine eyes of 107 HIV infected patients that underwent cataract surgery were evaluated. Mature cataract was seen in 31% of the eyes. Features of HIV related uveitis/retinitis were seen in 21 (16.2%) eyes. Phacoemulsification was performed in 44 (34.1%) eyes while manual small incision cataract surgery (MSICS) was done in 85 (65.9%) eyes. Intra-operative complications were encountered in 4 (3.1%) eyes. At the final follow-up, there was a significant improvement in median corrected distance visual acuity (CDVA) from LogMAR 1.08 (5/60) at baseline to LogMAR 0 (6/6) at 6 months follow-up.
Conclusion
Patients with HIV infection usually present early and with advanced cataracts. Visual outcomes after cataract surgery are generally good but affected by presence of prior HIV related uveitis or retinitis</description><identifier>ISSN: 1573-2630</identifier><identifier>ISSN: 0165-5701</identifier><identifier>EISSN: 1573-2630</identifier><identifier>DOI: 10.1007/s10792-022-02559-0</identifier><identifier>PMID: 36273361</identifier><language>eng</language><publisher>Dordrecht: Springer Netherlands</publisher><subject>Acuity ; Cataract - epidemiology ; Cataract Extraction - adverse effects ; Cataracts ; Complications ; Developing countries ; Electronic health records ; Electronic medical records ; Eye ; Eye surgery ; HIV ; HIV Infections - complications ; HIV Infections - epidemiology ; Human immunodeficiency virus ; Immune system ; Infections ; Intraoperative Complications ; LDCs ; Medicine ; Medicine & Public Health ; Ophthalmology ; Original Paper ; Patients ; Pediatrics ; Phacoemulsification ; Retinitis ; Retinitis - complications ; Surgery ; Uveitis ; Uveitis - complications ; Visual acuity</subject><ispartof>International ophthalmology, 2023-05, Vol.43 (5), p.1601-1609</ispartof><rights>The Author(s), under exclusive licence to Springer Nature B.V. 2022. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.</rights><rights>2022. The Author(s), under exclusive licence to Springer Nature B.V.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c375t-3fff942780b737886d7742dd92e589ef20a6a80c81acd9655d01c41a65845f543</citedby><cites>FETCH-LOGICAL-c375t-3fff942780b737886d7742dd92e589ef20a6a80c81acd9655d01c41a65845f543</cites><orcidid>0000-0002-3412-7187 ; 0000-0002-5374-9328 ; 0000-0002-9220-8049 ; 0000-0002-2015-8871 ; 0000-0001-8009-7399</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10792-022-02559-0$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10792-022-02559-0$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36273361$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Sankarananthan, R.</creatorcontrib><creatorcontrib>Prasad, Senthil</creatorcontrib><creatorcontrib>Shekhar, Madhu</creatorcontrib><creatorcontrib>Narendran, Siddharth</creatorcontrib><creatorcontrib>Balakrishnan, Logesh</creatorcontrib><creatorcontrib>Rathinam, S. R.</creatorcontrib><title>Outcomes of cataract surgery in patients with Human Immunodeficiency Virus infection in a developing country</title><title>International ophthalmology</title><addtitle>Int Ophthalmol</addtitle><addtitle>Int Ophthalmol</addtitle><description>Purpose
To report the outcomes of cataract surgery in patients with Human Immunodeficiency Virus (HIV) infection.
Setting
Tertiary care ophthalmic hospital
Design
Retrospective study
Methods
This study included all eyes of patients with known HIV infection undergoing cataract surgery with a minimum follow-up of 6 months between January 2017 and December 2020. Patients who underwent combined surgeries and pediatric patients were excluded from analysis. Data were retrieved from electronic medical records and we documented demographics, history, detailed anterior and posterior segment examination, pre-operative grade and type of cataract, type of surgery done, its complication and post-operative course. All these parameters were recorded at the baseline visit and at 1 month and 6 months postoperatively.
Results
One hundred and twenty nine eyes of 107 HIV infected patients that underwent cataract surgery were evaluated. Mature cataract was seen in 31% of the eyes. Features of HIV related uveitis/retinitis were seen in 21 (16.2%) eyes. Phacoemulsification was performed in 44 (34.1%) eyes while manual small incision cataract surgery (MSICS) was done in 85 (65.9%) eyes. Intra-operative complications were encountered in 4 (3.1%) eyes. At the final follow-up, there was a significant improvement in median corrected distance visual acuity (CDVA) from LogMAR 1.08 (5/60) at baseline to LogMAR 0 (6/6) at 6 months follow-up.
Conclusion
Patients with HIV infection usually present early and with advanced cataracts. Visual outcomes after cataract surgery are generally good but affected by presence of prior HIV related uveitis or retinitis</description><subject>Acuity</subject><subject>Cataract - epidemiology</subject><subject>Cataract Extraction - adverse effects</subject><subject>Cataracts</subject><subject>Complications</subject><subject>Developing countries</subject><subject>Electronic health records</subject><subject>Electronic medical records</subject><subject>Eye</subject><subject>Eye surgery</subject><subject>HIV</subject><subject>HIV Infections - complications</subject><subject>HIV Infections - epidemiology</subject><subject>Human immunodeficiency virus</subject><subject>Immune system</subject><subject>Infections</subject><subject>Intraoperative Complications</subject><subject>LDCs</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Ophthalmology</subject><subject>Original Paper</subject><subject>Patients</subject><subject>Pediatrics</subject><subject>Phacoemulsification</subject><subject>Retinitis</subject><subject>Retinitis - complications</subject><subject>Surgery</subject><subject>Uveitis</subject><subject>Uveitis - complications</subject><subject>Visual acuity</subject><issn>1573-2630</issn><issn>0165-5701</issn><issn>1573-2630</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp9kU1rFTEUhoMotlb_gIsScONm6kky-ZhlKWoLhW7UbUgzSU2ZSW7zodx_31xvtcVFISEHzvO-J5wXofcETgiA_FQIyIkOQHeX82mAF-iQcMkGKhi8fFIfoDel3ALAJCfxGh0wQSVjghyi5apVm1ZXcPLYmmqysRWXlm9c3uIQ8cbU4GIt-HeoP_F5W03EF-vaYpqdD7b37Bb_CLmVTntna0hxpzN4dr_ckjYh3mCbWqx5-xa98mYp7t3De4S-f_n87ex8uLz6enF2ejlYJnkdmPd-GqlUcC2ZVErMUo50nifquJqcp2CEUWAVMXaeBOczEDsSI7gauecjO0If976bnO6aK1WvoVi3LCa61IqmkkrRRzHe0Q__obep5dh_p6kCKRXpp1N0T9mcSsnO600Oq8lbTUDvstD7LHTPQv_JQkMXHT9Yt-vVzf8kf5ffAbYHSm_FvvDH2c_Y3gMbhJS5</recordid><startdate>20230501</startdate><enddate>20230501</enddate><creator>Sankarananthan, R.</creator><creator>Prasad, Senthil</creator><creator>Shekhar, Madhu</creator><creator>Narendran, Siddharth</creator><creator>Balakrishnan, Logesh</creator><creator>Rathinam, S. 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R.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c375t-3fff942780b737886d7742dd92e589ef20a6a80c81acd9655d01c41a65845f543</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Acuity</topic><topic>Cataract - epidemiology</topic><topic>Cataract Extraction - adverse effects</topic><topic>Cataracts</topic><topic>Complications</topic><topic>Developing countries</topic><topic>Electronic health records</topic><topic>Electronic medical records</topic><topic>Eye</topic><topic>Eye surgery</topic><topic>HIV</topic><topic>HIV Infections - complications</topic><topic>HIV Infections - epidemiology</topic><topic>Human immunodeficiency virus</topic><topic>Immune system</topic><topic>Infections</topic><topic>Intraoperative Complications</topic><topic>LDCs</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Ophthalmology</topic><topic>Original Paper</topic><topic>Patients</topic><topic>Pediatrics</topic><topic>Phacoemulsification</topic><topic>Retinitis</topic><topic>Retinitis - complications</topic><topic>Surgery</topic><topic>Uveitis</topic><topic>Uveitis - complications</topic><topic>Visual acuity</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Sankarananthan, R.</creatorcontrib><creatorcontrib>Prasad, Senthil</creatorcontrib><creatorcontrib>Shekhar, Madhu</creatorcontrib><creatorcontrib>Narendran, Siddharth</creatorcontrib><creatorcontrib>Balakrishnan, Logesh</creatorcontrib><creatorcontrib>Rathinam, S. R.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Industrial and Applied Microbiology Abstracts (Microbiology A)</collection><collection>Neurosciences Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>International ophthalmology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sankarananthan, R.</au><au>Prasad, Senthil</au><au>Shekhar, Madhu</au><au>Narendran, Siddharth</au><au>Balakrishnan, Logesh</au><au>Rathinam, S. R.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Outcomes of cataract surgery in patients with Human Immunodeficiency Virus infection in a developing country</atitle><jtitle>International ophthalmology</jtitle><stitle>Int Ophthalmol</stitle><addtitle>Int Ophthalmol</addtitle><date>2023-05-01</date><risdate>2023</risdate><volume>43</volume><issue>5</issue><spage>1601</spage><epage>1609</epage><pages>1601-1609</pages><issn>1573-2630</issn><issn>0165-5701</issn><eissn>1573-2630</eissn><abstract>Purpose
To report the outcomes of cataract surgery in patients with Human Immunodeficiency Virus (HIV) infection.
Setting
Tertiary care ophthalmic hospital
Design
Retrospective study
Methods
This study included all eyes of patients with known HIV infection undergoing cataract surgery with a minimum follow-up of 6 months between January 2017 and December 2020. Patients who underwent combined surgeries and pediatric patients were excluded from analysis. Data were retrieved from electronic medical records and we documented demographics, history, detailed anterior and posterior segment examination, pre-operative grade and type of cataract, type of surgery done, its complication and post-operative course. All these parameters were recorded at the baseline visit and at 1 month and 6 months postoperatively.
Results
One hundred and twenty nine eyes of 107 HIV infected patients that underwent cataract surgery were evaluated. Mature cataract was seen in 31% of the eyes. Features of HIV related uveitis/retinitis were seen in 21 (16.2%) eyes. Phacoemulsification was performed in 44 (34.1%) eyes while manual small incision cataract surgery (MSICS) was done in 85 (65.9%) eyes. Intra-operative complications were encountered in 4 (3.1%) eyes. At the final follow-up, there was a significant improvement in median corrected distance visual acuity (CDVA) from LogMAR 1.08 (5/60) at baseline to LogMAR 0 (6/6) at 6 months follow-up.
Conclusion
Patients with HIV infection usually present early and with advanced cataracts. Visual outcomes after cataract surgery are generally good but affected by presence of prior HIV related uveitis or retinitis</abstract><cop>Dordrecht</cop><pub>Springer Netherlands</pub><pmid>36273361</pmid><doi>10.1007/s10792-022-02559-0</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0002-3412-7187</orcidid><orcidid>https://orcid.org/0000-0002-5374-9328</orcidid><orcidid>https://orcid.org/0000-0002-9220-8049</orcidid><orcidid>https://orcid.org/0000-0002-2015-8871</orcidid><orcidid>https://orcid.org/0000-0001-8009-7399</orcidid></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1573-2630 |
| ispartof | International ophthalmology, 2023-05, Vol.43 (5), p.1601-1609 |
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| language | eng |
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| source | MEDLINE; SpringerLink Journals - AutoHoldings |
| subjects | Acuity Cataract - epidemiology Cataract Extraction - adverse effects Cataracts Complications Developing countries Electronic health records Electronic medical records Eye Eye surgery HIV HIV Infections - complications HIV Infections - epidemiology Human immunodeficiency virus Immune system Infections Intraoperative Complications LDCs Medicine Medicine & Public Health Ophthalmology Original Paper Patients Pediatrics Phacoemulsification Retinitis Retinitis - complications Surgery Uveitis Uveitis - complications Visual acuity |
| title | Outcomes of cataract surgery in patients with Human Immunodeficiency Virus infection in a developing country |
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