Journal of cataract and refractive surgery · 2012
Male sex, erythema nodosum, and electroretinography as predictors of visual prognosis after cataract surgery in patients with Behçet disease.
СтатьяПоддержка исследования: вне правительства СШАНазвание и аннотация: Перевод в очереди
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Hu Ke, Lei Bo, Kijlstra Aize, Li Pinghua, Zhang Xuedong, Xiao Xiang, Li Fuzhen, Xu Hong, Yang Peizeng
Аннотация
PURPOSE: To evaluate factors that predict the visual prognosis after cataract surgery in patients with Behçet disease.
SETTING: The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.
DESIGN: Retrospective clinical study.
METHODS: Patients with Behçet disease and complicated cataract had phacoemulsification and intraocular lens implantation between September 2008 and March 2011. Analyzed were the corrected distance visual acuity (CDVA), full-field electroretinogram (ERG) results, intraocular inflammation, extraocular manifestations, and complications before and after surgery.
RESULTS: Twenty-one men (26 eyes) and 6 women (10 eyes) Behçet disease patients with complicated cataract were enrolled. There were no postoperative complications, although a mild to moderate anterior chamber reaction occurred in all patients. At the last visit, the CDVA was improved in 35 eyes. Twenty-seven eyes (75%) achieved a final CDVA of 0.1 or better. No female patient had obvious fundus complications, and all female patients achieved a final CDVA of 0.25 or better. The common causes for poor visual prognosis were optic atrophy, atrophy of the retina, and cystoid macular edema. Eyes with marked ERG a-wave and b-wave abnormalities had a significantly worse postoperative CDVA. Seven (10 eyes) of 8 patients (11 eyes) with a history of erythema nodosum had a postoperative visual acuity below 0.1.
CONCLUSIONS: Phacoemulsification and IOL implantation in patients with Behçet disease can be safely and successfully performed in quiet eyes. A poor visual prognosis was associated with male sex, severe fundus complications, and erythema nodosum and could be predicted by ERG abnormalities.
FINANCIAL DISCLOSURE: No author has a financial or proprietary interest in any material or method mentioned.
SETTING: The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.
DESIGN: Retrospective clinical study.
METHODS: Patients with Behçet disease and complicated cataract had phacoemulsification and intraocular lens implantation between September 2008 and March 2011. Analyzed were the corrected distance visual acuity (CDVA), full-field electroretinogram (ERG) results, intraocular inflammation, extraocular manifestations, and complications before and after surgery.
RESULTS: Twenty-one men (26 eyes) and 6 women (10 eyes) Behçet disease patients with complicated cataract were enrolled. There were no postoperative complications, although a mild to moderate anterior chamber reaction occurred in all patients. At the last visit, the CDVA was improved in 35 eyes. Twenty-seven eyes (75%) achieved a final CDVA of 0.1 or better. No female patient had obvious fundus complications, and all female patients achieved a final CDVA of 0.25 or better. The common causes for poor visual prognosis were optic atrophy, atrophy of the retina, and cystoid macular edema. Eyes with marked ERG a-wave and b-wave abnormalities had a significantly worse postoperative CDVA. Seven (10 eyes) of 8 patients (11 eyes) with a history of erythema nodosum had a postoperative visual acuity below 0.1.
CONCLUSIONS: Phacoemulsification and IOL implantation in patients with Behçet disease can be safely and successfully performed in quiet eyes. A poor visual prognosis was associated with male sex, severe fundus complications, and erythema nodosum and could be predicted by ERG abnormalities.
FINANCIAL DISCLOSURE: No author has a financial or proprietary interest in any material or method mentioned.