American Journal of Ophthalmology AJO 2945 Page 15
Lam- Surgical management of cataracts in children with JRA uveitis
15
Table 1- Patient characteristics
Eye
No.
Pt
Age
Sex Eye
Length
of
uveitis
before
surg.
(yrs)
Length
on
MTX
before
surg.
(yrs)
Other anti-
inflammatory
Medications
Cataract
Type
Preoperative
Conditions in
Affected Eye
Surgery IOL
Type
F/U
(mo)
Initial
BCVA
Final
BCVA
Compli
-cations
Procedures
After
Initial
Surgery
1
A 7 F OS 1.5 0.75 Prednisone,
naproxen
Cortical,
Posterior
subcapsular
None CE/
PC IOL
PMMA
with
heparin
17 20/100 20/25 PCO
Yag
2
B 10 F OD 8.25 3.7
hydroxy-
chloroquine,
auranofin,
naproxen
Posterior
subcapsular
360
° Posterior
synechiae, cystoid
macular edema, band
keratopathy
CE/
PC IOL
PMMA
59 1/200 20/25 PCO,
Glau-
coma
Yag,
Trab+
MMC
3
B 12 F OS 10.75 6.17
hydroxy-
chloroquine,
auranofin,
naproxen
Posterior
subcapsular
Cystoid macular
edema, peripheral
band keratopathy
CE/
PCIOL
PMMA
28 20/100 20/40 PCO,
CME,
Glau-
coma
Yag,
Trab+
MMC
4
C 8 F OS 3.25 NA
None
Posterior
subcapsular
90
° Posterior
synechiae,
glaucoma, peripheral
band keratopathy.
Trab+
5-FU,
CE/
PC IOL
PMMA
22 20/400 20/25 PCO,
Glau-
coma
Yag
5
D 8 F OS 2.6 0.75
None
Posterior
subcapsular
270
° Posterior
synechiae, glaucoma,
peripheral band
keratopathy
Trab+
MMC
CE/
PC IOL
Acrylic
67 20/200 20/20 PCO,
Elsch-
nig
pearls
Yag,
Posterior
capsulect.+
vitrectomy
6
E 9 M OS 2
1.25
None
Posterior
subcapsular
Glaucoma
Trab +
MMC
CE/
PC IOL
PMMA
69 20/100 20/25 None None
Abbreviations:
Length of uveitis before surg.- Duration of uveitis before surgery (years); Length on MTX before surg.- Duration of methotrexate before surgery (years); F/U- Follow-up
(in months); BCVA- Best corrected Snellen visual acuity; CE- cataract extraction; PMMA- polymethylmethacrylate lens; PCO- posterior capsular opacification; Yag-
Nd:YAG laser capsulotomy; Trab+MMC- Trabeculectomy with mitomycin C; Posterior capsulect. + vitrectomy- posterior capsulectomy and vitrectomy
