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MEETING MORBIDITY :   Avoiding failure to medically treat eyes undergoing cataract surgery with known uveitis  Dr. Nick Sargent August 2008
What are we trying to avoid? Why is it important to avoid uveitis?
 
 
 
CB detachment.
Phthisis
Also ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Cataract surgery in the patient with uveitis is one of the challenges with the greatest number of unknown factors faced by the ophthalmologist
Difficulties in management pre- and post-op ,[object Object],[object Object],[object Object],[object Object]
Visual prognosis depends on: ,[object Object],[object Object],[object Object]
Good control of underlying systemic disorder Multidisciplinary approach.
Control of the ocular inflammation needed prior to surgery ,[object Object],[object Object],[object Object],[object Object]
Difficult intra-op  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Miotic pupil Synechiae Glaucoma
Challenge of IOL selection ,[object Object],[object Object],[object Object]
Good post-op control of inflammation ,[object Object],[object Object]
[object Object],[object Object],[object Object]
Patient preparation ,[object Object],[object Object],[object Object],[object Object]
Preop Control of Inflammation ,[object Object],[object Object]
Combined Cataract-Vitrectomy  ,[object Object],[object Object]
IOL ,[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object]
Fuch’s heterochromatic Cyclitis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Sarcoidosis ,[object Object],[object Object]
Pars planitis ,[object Object],[object Object],[object Object],[object Object]
Pars planitis ,[object Object],[object Object],[object Object]
JIC ,[object Object],[object Object],[object Object],[object Object],[object Object]
JIC ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Behcet’s Disease, VKH and Multifocal Chorioretinitis ,[object Object],[object Object],[object Object],[object Object]
HZ uveitis ,[object Object],[object Object]
Idiopathic iritis ,[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],If ever needed systemic steroids or pericoular steroids  1mg/kg/day prednisolone starting 2 weeks preop. Consider starting immunosuppressives at least 2 weeks preop (Methotrexate, Azathioprin, Cyclosporin A)  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],PROTOCOL FOR UVEITIS  PATIENTS UNDERGOING  CARATACT SURGERY ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
References ,[object Object]

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Avoiding Failure to Treat Eyes with Known Uveitis Undergoing Cataract Surgery

  • 1. MEETING MORBIDITY : Avoiding failure to medically treat eyes undergoing cataract surgery with known uveitis Dr. Nick Sargent August 2008
  • 2. What are we trying to avoid? Why is it important to avoid uveitis?
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  • 9. Cataract surgery in the patient with uveitis is one of the challenges with the greatest number of unknown factors faced by the ophthalmologist
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  • 12. Good control of underlying systemic disorder Multidisciplinary approach.
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