Incidence, Risk Factors and Surgical Outcomes of Cataract among Patients with Uveitis in a University Referral Hospital in Riyadh, Saudi Arabia. (3rd October 2019)

• Record Type: Journal Article
• Authors: AlBloushi, Abdulrahman F.; Alfawaz, Abdullah M.; Al-Dahmash, Saad A.; Al Owaifeer, Adi M.; AlEnezi, Saad H.; Al-Fakhri, Abdulmajeed S.; Gikandi, Priscilla W.; Abu El-Asrar, Ahmed M.
• Is Part Of: Ocular immunology and inflammation. Volume 27:Number 7(2019)
• Page Start: 1105
• Page End: 1113
• Publication Date: 2019-10-03
• Subjects: Cataract -- incidence -- outcome -- risk factors -- uveitis; Eye -- Diseases -- Immunological aspects -- Periodicals; Eye -- Inflammation -- Periodicals; 617.7
• DOI: 10.1080/09273948.2018.1504970
• Languages: English
• ISSNs: 0927-3948

Abstract

ABSTRACT: Purpose : To investigate incidence, risk factors, and surgical outcomes of cataract among uveitis patients. Methods : Retrospective review of 1000 patients (1582 eyes). Results : At initial presentation, cataract was diagnosed in 290 (18.3%) eyes and was most common in eyes with anterior uveitis. Fuchs' uveitis, herpetic uveitis, and presumed tuberculous uveitis were leading clinical entities associated with cataract at presentation. During follow-up, cataract developed in additional 200 (12.6%) eyes and was most common in eyes with anterior uveitis. Significant risk factors at presentation included age >18 years, female gender, presence of keratic precipitates, hypopyon, and posterior synechiae. Among the 490 eyes with cataract, 204 underwent cataract extraction during follow-up period. Best corrected vision of ≥20/40 was achieved in 122 (60.1%) eyes. Conclusions : Incidence of cataract differed depending on anatomic and etiologic diagnoses of uveitis. There is a significant association between severity of inflammation at presentation and development of cataract.