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American Journal of Ophthalmology - AJO 2945 (Page 16)

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American Journal of Ophthalmology - AJO 2945
Lam- Surgical management of cataracts in children with JRA uveitis
16
Table 2- Pre- and Postoperative Immunosuppressive or Anti-inflammatory Medications
Preoperative Medications
Postoperative Medications
Eye/
Patient
Systemic
Topical
Prednisolone acetate 1%
Systemic
Topical
Prednisolone acetate 1%
1/A
Methotrexate 10 mg weekly,
Prednisone 40 mg daily for
5 days
4x daily for 2 weeks
Methotrexate 10 mg weekly,
Naproxen 187.5 mg daily,
Prednisone 40 mg daily x 10
days
Hourly for 2 weeks,
then 4x daily for 2 months
2/B
Methotrexate 15 mg weekly,
Naproxen 250 mg daily,
Hydroxychloroquine 100 mg
daily, Auranofin 6 mg daily
Hourly for 2 weeks
Methotrexate 15 mg weekly,
Naproxen 250 mg daily,
Hydroxychloroquine 100 mg
daily, Auranofin 3 mg daily,
Prednisone 30 mg x 1 day,
Prednisone tapered over 1 week
Hourly for 3 weeks,
then every other hour for
2 months
3/B
Methotrexate 15 mg weekly,
Naproxen 375 mg twice daily,
Hydroxychloroquine 200 mg
daily, Auranofin 6 mg daily
4x daily for 2 weeks
Methotrexate 15 mg weekly,
Naproxen 375 mg twice daily,
Hydroxychloroquine 200 mg
daily, Auranofin 6 mg daily
Hourly for 2 days,
then every other hour
for 4 weeks
4/C
None
4x daily for 1 week
None
Hourly for 5 weeks,
then every other hour
for 4 weeks
5/D
Methotrexate 13.5 mg weekly
4x daily for 6 weeks
Methotrexate 13.5 mg weekly
Every other hour
for 11 weeks
6/E
Methotrexate 12.5 mg weekly
4x daily for 5 weeks
Methotrexate 12.5 mg weekly
Every other hour
for 8 weeks
Note: Postoperative systemic medications were continued long-term unless otherwise noted


Table 3- Pre- and Postoperative Status of Anterior Chamber Inflammation
Eye/
Patient
Preoperative Anterior
Chamber status
Postoperative Anterior Chamber status
1
week
6
weeks
3 months
6 months

12 months
1/A
No cells, no flare
3+ cells, 3+ flare
2+ cells, 1+ flare
1+ cells, 2+ flare
1+ cells, no flare
Rare cells, no flare
2/B
No cells, no flare
Rare cells,
Trace flare
2+ cells, trace flare
1+ cells, no flare
1+ cells,
trace flare
No cells, no flare
3/B
No cells, no flare
1+ cells, 1+ flare
2+ cells, 1+ flare
Occasional cells,
trace flare
Occasional cells,
No flare
Rare cells, no flare
4/C
Trace cells, no flare
2+ cells, 2+ flare
Occasional cells,
trace flare
Occasional cells,
trace flare
No cells, no flare
Rare cells, no flare
5/D
½+ cells, trace flare
1+ cells, trace flare No cells, no flare
Rare cells, no flare
No cells, no flare
No cells, no flare
6/E
1+ cells, 1+ flare
2+ cells, 3+ flare Trace cells, no flare
1+ cells, 1+ flare
No cells, trace flare Rare cells, no flare

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