Outcome of cataract surgery in Scleritis patients

1
Outcome of cataract surgery in Scleritis patients

• Bhupesh Bagga
• Cornea Anterior Segment Department
• L.V.Prasad Eye Institute, Hyderabad,India
• Financial DisclosureNone

2
Purpose

• To evaluate the outcome of cataract surgery in
  patients with scleritis.

3
Method

• Retrospective review of records
• Inclusion criteria
• Patients having Cataract surgery done in
  presence of scleral thinning or history of
  scleritis
• Patients who presented with active scleritis
  first managed and then cataract surgery
  performed.

4
Outcome measure

• Safety of cataract surgery
• Visual improvement
• Recurrence of scleritis after cataract surgery.

5
ResultsPreopertive Data

• Number of eyes -13(12 patients)
• 9 (75) were female.
• Age ranges from 30-60 yr
• Cataract grades range from Nuclear sclerosis
  grade 2 with Posterior sub capsular to mature
  cataract.

6
Preoperative visual acuity
Range of Visual acuity No.of patients
lt20/400 6
20/400-20/100 4
gt20/100 2
7
Preoperative Data Of Scleritis at presentation
8
Cataract surgery Technique
9
Post Operative Visual Acuity
10
Complications

• 2 cases had increased anterior chamber
  inflammation after surgery, that was managed with
  topical and oral steroids.
• One case in which Trabeculectomy was performed
  developed bleb leak which was managed
  conservatively.
• 2 cases have developed superficial punctate
  keratopathy, managed with lubricants.

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Conclusion

• Cataract surgery is safe in patients with history
  of scleritis if under control.
• Both Corneal and Scleral routes are equally
  safe.
• There is no role of Increased immunosuppression
  during preoperative or intraoperative duration.