Phacoemulsification Surgery in Patients with Vogt-Koyanagi-Harada Syndrome
The aim of this study was to evaluate the efficacy of cataract surgery with phacoemulsification technique in patients with Vogt-Koyanagi-Harada syndrome in Saudi Arabia, at the King Abdulaziz University Hospital and Maghraby Eye Centre, Jeddah, Saudi Arabia. A retrospective analysis of the records of patients diagnosed with Vogt-Koyanagi-Harada syndrome that underwent cataract surgery with phacoemulsification technique between March 2002 and September 2007 was carried out. Phacoemulsification surgery was performed in 13 eyes of 7 patients. 6 patients needed bilateral surgery. There were 3 males and 4 females. One patient was left aphakic in both eyes. In the remaining 11 eyes, Acrysof foldable intraocular lens was implanted in the bag. The mean age of presentation was 39.57 6.55 years. The patients were followed up for 8.33 3.7 months. Mean improvement of visual acuity was 6.69 2.46 lines. All patients were monitored closely. The time taken for the quieting of anterior chamber was 4.23 1.92 weeks. Two patients developed significant posterior capsular opacity which needed Neodymium-YAG capsulotomy. There were no other complications. The cataract surgery with phacoemulsification technique was safe and effective in the patients of Vogt-Koyanagi-Harada, provided they were managed effectively during and after surgery.
Copyright (c) 2008 Journal of King Abdulaziz University - Medical Sciences
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