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Pars plana lensectomy and vitrectomy for complicated cataracts in juvenile rheumatoid arthritis.
Ophthalmology. 1988 Aug; 95(8):1114-9.O

Abstract

Anterior surgical approaches to cataracts in juvenile rheumatoid arthritis (JRA) patients are compromised by chronic anterior and posterior uveitis, miotic pupils, and posterior synechiae. The authors retrospectively reviewed the results of pars plana lensectomy and vitrectomy in ten eyes from seven JRA patients with cataracts associated with chronic iridocyclitis and vitritis. Visual acuities improved from 20/100 or worse preoperatively to 20/60 or better postoperatively. Transient postoperative hypotony lasting 1 week to 4 months occurred in four of the ten eyes. Patients with glaucoma continued to require antiglaucoma therapy after surgery. Pars plana lensectomy and vitrectomy provides a theoretically preferrable approach to complicated cataracts and vitritis in JRA patients because it allows removal of peripheral lens material in the presence of a miotic pupil, eliminates the potential for synechiae to the posterior capsule and/or anterior hyaloid, and clears the visual axis of inflammatory debris.

Authors+Show Affiliations

Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami, School of Medicine, FL.No affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article
Research Support, U.S. Gov't, P.H.S.

Language

eng

PubMed ID

3231451

Citation

Flynn, H W., et al. "Pars Plana Lensectomy and Vitrectomy for Complicated Cataracts in Juvenile Rheumatoid Arthritis." Ophthalmology, vol. 95, no. 8, 1988, pp. 1114-9.
Flynn HW, Davis JL, Culbertson WW. Pars plana lensectomy and vitrectomy for complicated cataracts in juvenile rheumatoid arthritis. Ophthalmology. 1988;95(8):1114-9.
Flynn, H. W., Davis, J. L., & Culbertson, W. W. (1988). Pars plana lensectomy and vitrectomy for complicated cataracts in juvenile rheumatoid arthritis. Ophthalmology, 95(8), 1114-9.
Flynn HW, Davis JL, Culbertson WW. Pars Plana Lensectomy and Vitrectomy for Complicated Cataracts in Juvenile Rheumatoid Arthritis. Ophthalmology. 1988;95(8):1114-9. PubMed PMID: 3231451.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Pars plana lensectomy and vitrectomy for complicated cataracts in juvenile rheumatoid arthritis. AU - Flynn,H W,Jr AU - Davis,J L, AU - Culbertson,W W, PY - 1988/8/1/pubmed PY - 2001/3/28/medline PY - 1988/8/1/entrez SP - 1114 EP - 9 JF - Ophthalmology JO - Ophthalmology VL - 95 IS - 8 N2 - Anterior surgical approaches to cataracts in juvenile rheumatoid arthritis (JRA) patients are compromised by chronic anterior and posterior uveitis, miotic pupils, and posterior synechiae. The authors retrospectively reviewed the results of pars plana lensectomy and vitrectomy in ten eyes from seven JRA patients with cataracts associated with chronic iridocyclitis and vitritis. Visual acuities improved from 20/100 or worse preoperatively to 20/60 or better postoperatively. Transient postoperative hypotony lasting 1 week to 4 months occurred in four of the ten eyes. Patients with glaucoma continued to require antiglaucoma therapy after surgery. Pars plana lensectomy and vitrectomy provides a theoretically preferrable approach to complicated cataracts and vitritis in JRA patients because it allows removal of peripheral lens material in the presence of a miotic pupil, eliminates the potential for synechiae to the posterior capsule and/or anterior hyaloid, and clears the visual axis of inflammatory debris. SN - 0161-6420 UR - https://www.unboundmedicine.com/medline/citation/3231451/Pars_plana_lensectomy_and_vitrectomy_for_complicated_cataracts_in_juvenile_rheumatoid_arthritis_ DB - PRIME DP - Unbound Medicine ER -