ISSN 1308-8734 | E-ISSN 1308-8742
Original Article
Phacoemulsification and Core Vitrectomy in Fuchs’ Heterochromic Uveitis
1 Department of Ophthalmology, Atatürk University School of Medicine, Erzurum, Turkey  
2 Department of Ophthalmology, Medical Park Hospital, Kocaeli, Turkey  
3 Department of Ophthalmology, Buhara Hospital, Erzurum, Turkey  
4 Department of Ophthalmology, Erzurum Regional Training and Research Hospital, Erzurum, Turkey  
5 Department of Ophthalmology, Iğdır State Hospital, Iğdır, Turkey  
Eurasian J Med 2017; 49: 97-101
DOI: 10.5152/eurasianjmed.2017.17026
Key Words: Phacoemulsification, Fuchs’ heterochromic uveitis, core vitrectomy
Abstract

Objective: To evaluate the efficacy of phacoemulsification combined with posterior capsulorhexis, core vitrectomy and ciliary sulcus intraocular lens (IOL) implantation in patients with Fuchs’ heterochromic uveitis (FHU).

 

Materials and Methods: A total of 18 eyes of 18 patients with FHU underwent cataract surgery were included in the study. 18 eyes with FHU underwent posterior capsulorhexis, core vitrectomy and poly (methyl methacrylate) (PMMA) IOL implantation in the ciliary sulcus. Subjects were chosen for this procedure based on an intraoperative vitreous haziness assessment, performed by indirect ophthalmoscopy. Patients with +2 or more vitreous haziness qualified for this procedure.

 

Results: Of the 83 eyes with FHU that underwent cataract surgery, 18 eyes (21.6%) of 18 patients were employed in the study. There were 11 (61.1%) men and 7 (38.9%) women in the study; ages ranged from 23 to 47, with a mean of 32.06 years. Follow-up ranged from 8 months to 49 months. There were no intraoperative complications except for peripheral iris bleeding in 7 eyes. There was no severe intraocular inflammation in any patient postoperatively. All patients had 0.05 or better logMAR visual acuity after corneal suture removal. Glaucoma developed in 2 patients. For the short term period, the main vision threatening problem was suture-induced astigmatism.

 

Conclusion: Cataract surgery combined with posterior capsulorhexis, core vitrectomy and IOL implantation in the ciliary sulcus is safe and leads to good visual outcome due to the removal of the hazy vitreous in patients with FHU. 

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