+ Resolve Article
+ Follow Us
Follow on FacebookFollow on Facebook
Follow on TwitterFollow on Twitter

+ Translate
+ Subscribe to Site Feed
GeoScience Most Shared ContentMost Shared Content

Intraocular lens implantation in patients with juvenile rheumatoid arthritis

, : Intraocular lens implantation in patients with juvenile rheumatoid arthritis. American Journal Of Ophthalmology. 122(2): 161-170

PURPOSE: To study intraocular lens implantation in patients with cataracts associated with juvenile rheumatoid arthritis. METHODS: We reviewed the records of seven patients (eight eyes) with juvenile rheumatoid arthritis who had undergone cataract extraction by phacoemulsification with intraocular lens implantation. Initial and final visual acuities, preoperative and postoperative medications, and early and late complications were recorded. RESULTS: Posterior subcapsular cataracts and non-visually disabling peripheral band keratopathy were found in all eyes. The median postoperative follow-up was 17.5 months (mean, 16.6 months; range, nine to 36 months). Five patients were adults, and two patients were less than 10 years old. A best-corrected visual acuity of 20/40 or better was attained in all eyes, and the last recorded visual acuity was 20/40 or better in seven of eight eyes. Early complications included posterior synechiae formation in two eyes, one of which required reoperation. Late complications included visually disabling posterior capsular opacification in one eye and new glaucoma in two eyes. Preoperative corticosteroids were reduced postoperatively in five eyes, were the same in two eyes, and increased in one eye. Persistent postoperative inflammation, posterior synechiae, and a pupillary membrane occurred in one of the children in this study, suggesting that intraocular lens implantation in this age group may have more complications. CONCLUSIONS: Results of this study suggest that, in selected adults, cataracts caused by juvenile rheumatoid arthritis-associated uveitis can be treated by the standard phacoemulsification technique with intraocular lens implantation and can have excellent results. Intraocular lens implantation in children with juvenile rheumatoid arthritis merits further investigation.


PMID: 8694084

DOI: 10.1016/S0002-9394(14)72007-0

Other references

Paterson, S., 1948: The hydrodynamic theory of detonation; on absolute calculations for condensed explosives. Research; A Journal of Science and Its Applications 1(5): 221-233

Querci, O., 1938: Abondance et rarefication des insectes a Cuba. Lambillionea Brussels, 38: 89-92

Berg J.H., 1977: Sulfide-silicate-oxide symplectites in the Hettasch Intrusion, Labrador. Eos, Transactions, American Geophysical Union 58(6): 524

Vigliano, R.R.; Carlson, D.B., 1986: An adjustable restrainer for sentinel chickens used in encephalitis surveillance. The authors describe an adjustable harness which could be used to immobilize single sentinel chickens used as bait in mosquito-borne encephalitis surveillance, thereby allowing one person to collect blood samples from the bird's wing. Previou...

Bousquet, P.; Greney, H.; Bennai, F.; Feldman, J.; Stutzmann, J.; Belcourt, A.; Dontenwill, M., 1995: Imidazoline receptors and cardiovascular regulations. A statement. Annals of the New York Academy of Sciences 763: 526-530

Orobinskii, D.; Parfenov, N., 1978: Reducing losses of flax seed during harvesting. Tekhnika v sel'skom khoziaistve: (8) 28-29

Fairbanks Ernest Emerson, 1947: Naming of microscopic ore minerals. American Mineralogist 32(11-12): 683

Bismarck Fazzano Gadig, O.; Cabrera Namora, R. dos Santos Motta, F., 2001: Data on juveniles of the common thresher shark, Alopias vulpinus Bonnaterre, 1788 Chondrichthyes Alopiidae, with comments on the distribution of family Alopiidae in Brazil Dados sobre jovens do tubarao-raposa, Alopias vulpinus Bonnaterre, 1788 Chondrichthyes Alopiidae, com comentarios sobre a distribuicao da familia Alopiidae no Brasil. Arquivos de Ciencias do Mar, 34: 77-82

Titus K.; Mosher J.A.; Williams B.K., 1984: Chance corrected classification for use in discriminant analysis ecological applications/. A method for evaluating the classification table from a discriminant analysis is described. The statistic, .kappa., is useful to ecologists in that it removes the effects of chance. It is useful even with equal group sizes although the need for a...

Rechard, R.P., 2000: Historical relationship between performance assessment for radioactive waste disposal and other types of risk assessment. This article describes the evolution of the process for assessing the hazards of a geologic disposal system for radioactive waste and, similarly, nuclear power reactors, and the relationship of this process with other assessments of risk, particul...