Апстракт
The aim of this study is to evaluate the factors responsible for poor visual outcome in patients who had surgery for cataract due to uveitis in our subpopulation.A nonrandomized retrospective chart review of 28 patients (28 eyes) diagnosed with uveitic cataract that had cataract surgery between June 2001 and May 2007 at the University College Hospital, Ibadan, Nigeria was carried out. All had extracapsular cataract extraction with or without IOL implantation. The outcome measure was post-operative best corrected visual acuity.Over 60% of our patients achieved final best corrected visual acuity (BCVA) of 6/18 or better. The major causes of poor vision were posterior capsule opacity (PCO) in 6 patients, cystoid macular oedema (CMO) in 2 patients and pre-existing chorioretinal scar in 1 patient. We conclude that post uveitic cataract surgery results in good visual outcome with few complications in Ibadan.
Keywords: Visual outcome; uveitic; cataract; African.
Résumé
Le but de cette étude était d’évaluer la réponse ou résultat visuelle et évaluer les facteurs responsables de mauvaise vision aux patients ayant eu une chirurgie de la cataracte due a l’uvéite dans une souche de notre population. La revue rétrospective d’une charte systématique de 28 patients (28 yeux) diagnostiques avec la cataracte de l’uvéite ayant eu une chirurgie de cette cataracte était faite entre juin 2001 et Mai 2007 au Centre Universitaire Hospitalier, Ibadan, Nigeria. Tous avaient une extraction de la cataracte extra capsulaire avec ou sans implantation d’IOL. Les résultats post-opérative corrigeait de mieux l’acuité visuelle. Plus de 60% de nos patients achevaient avec une meilleure acuité visuelle finale (BCVA) de 6/18 ou mieux. Les causes majeures de la faible vision étaient l’opacité de la capsule postérieure (OCP) chez 6 patients, l’œdème cystoïde maculaire (OCM) chez 2 patients et une cicatricepréexistante choriorétinal chez un patient. Nous concluons que la chirurgie de la cataracte uvéite résulte a un bon résultat visuel avec moins de complications dans cette zone africaine.
Correspondence: Dr. O. Fasina, Department of Ophthalmology, University College Hospital, Ibadan, Oyo State, Nigeria. E-mail: yemifash2000@yahoo.com
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