Cataract Surgery in Uveitis‑Associated Cataract: A Clinical Review
Abstract
Cataract is among the most common causes of visual impairment in patients with uveitis and represents a major indication for intraocular surgery in this population. Chronic intraocular inflammation, prolonged corticosteroid therapy, and structural ocular changes contribute to the development of uveitis-associated cataracts. Cataract surgery in patients with uveitis presents unique challenges compared with routine age-related cataract surgery because affected individuals are often younger and frequently present with coexisting ocular comorbidities, including posterior synechiae, small pupils, zonular weakness, and macular pathology.
Advances in surgical techniques and perioperative management strategies have significantly improved visual outcomes in patients undergoing cataract extraction in the setting of uveitis. Preoperative control of inflammation for at least three months is widely recognized as the most important predictor of postoperative success. In addition, appropriate use of perioperative corticosteroid therapy and the selection of biocompatible intraocular lens materials play key roles in minimizing postoperative inflammation and complications.
This review summarizes the current evidence regarding cataract surgery in patients with uveitis‑associated cataracts, including indications and optimal timing of surgery, preoperative assessment and management, intraoperative considerations, and postoperative outcomes and complications.
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