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This abstract is assigned to session Free Paper Session I: Diagnosis and Monitoring
Presentation preference Oral presentation
TitleUltrasound biomicroscopy as a tool in the management of uveitic complicated cataracts
PurposeTo study the utility of Ultrasound biomicroscopy in the management of uveitic complicated cataracts.
MethodsRetrospective analysis of 9 eyes of 9 patients with uveitic complicated cataract.
ResultsOur series had 9 patients of which 8 were young men. Median age of presentation was 28 years. 6 patients had bilateral disease, presented with sudden diminution of vision with complicated total cataract as presenting feature in one eye along with 3 other patients who had unilateral involvement. All 9 eyes had shallow anterior chamber with peripheral anterior synechae and slit angle. 5 patients presented with hypotony and one patient with ocular hypertension. All 9 eyes underwent B scan and ultrasound biomicroscopy to anatomically localize the inflammation. 6 eyes had ciliary body inflammation, 4 eyes had supraciliary effusion and 8 eyes had parsplana membranes of which 7 caused traction on ciliary body. All patients were started on oral corticosteroids and methotrexate. Surgical decision of doing lensectomy and vitrectomy was taken based on clinical and UBM findings. The mean follow-up period was 3 years. 7 eyes had excellent improvement in vision with stable intraocular pressure at final follow up. 2 eyes had scarred cornea.
ConclusionRoutine phacoemulsification with in the bag intraocular lens implantation is difficult in these situations and cannot address the underlying pathology. Investigation with UBM to look for the exact pathology and anatomical localization of inflammation with subsequent lensectomy and vitrectomy can save the vision.
Conflict of interestNo
Author 1
Last namePRADEEP
Initials of first name(s)S
DepartmentUveitis and Intraocular inflammation
Author 2
Last nameSusvar
Initials of first name(s)P
DepartmentBhagvan Mahavir Vitreo-Retinal services
Author 3
Last nameGanesh
Initials of first name(s)SK
DepartmentUveitis and Intraocular inflammation