Abstract:

Cataract is one of the common complications of uveitis, which may be associated with recurrent episodes of inflammation and long-term use of glucocorticoids. Cataract extraction with intraocular lens implantation has become the main treatment. Patients with activity inflammation have a serious postoperative inflammatory reaction and complications. It is generally believed that the operation time should be three months after the inflammation resolution at least. Local or systemic treatment with glucocorticoids is more effective over perioperative. For avoiding systemic side effects of glucocorticoids and increasing the concentration in eyes, some experts choose to inject drugs or implant the sustained release agent in anterior chamber. The extensive iris adhesion and pupillary atresia caused by the recurrent inflammation makes the operation much more difficult, which is a challenge for surgeon. In addition, the appropriate intraocular lens can reduce postoperative inflammatory reactions and the incidence of subsequent cataracts.