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Outcomes of uveitic cataract surgery in a cohort of South African children
BACKGROUND: Cataract formation is a common and potentially blinding complication of paediatric uveitis. Surgical management approach remains a point of controversy. The purpose of this study was to determine the peri- and postoperative outcomes of uveitic cataract surgery in a cohort of South Africa...
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| Format: | Thesis |
| Language: | English |
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Division of General Surgery
2024
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| _version_ | 1867613328431382528 |
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| access_status_str | Open Access |
| author | Kennedy, Clare |
| author2 | Tinley, Christopher |
| author_browse | Kennedy, Clare Tinley, Christopher |
| author_facet | Tinley, Christopher Kennedy, Clare |
| author_sort | Kennedy, Clare |
| collection | Thesis |
| description | BACKGROUND: Cataract formation is a common and potentially blinding complication of paediatric uveitis. Surgical management approach remains a point of controversy. The purpose of this study was to determine the peri- and postoperative outcomes of uveitic cataract surgery in a cohort of South African children. METHODS: Retrospective case-series of paediatric patients with uveitis who underwent cataract surgery between 01/01/2010 to 31/12/2020. The main outcome measures were postoperative best corrected visual acuity (BCVA), intra- and postoperative complications, and immunosuppressive requirements. RESULTS: The study included 18 eyes from 14 patients. Fifteen eyes underwent a pars plana vitrectomy, lensectomy with capsulectomy and were left aphakic. Three eyes had an anterior approach lensectomy with insertion of a posterior chamber intraocular lens (PCIOL). All eyes had improvement in BCVA, with a mean gain of 5 lines. BCVA equal to or better than 6/12 was achieved in 68.8% of eyes with 62.5% seeing 6/9 or 6/6. The most common post operative complication was cystoid macular oedema (CMO). Of the 3 eyes that had PCIOLs inserted, 2 required removal. |
| format | Thesis |
| id | oai:open.uct.ac.za:11427/39585 |
| institution | University of Cape Town (South Africa) |
| language | eng |
| last_indexed | 2026-06-10T12:34:23.309Z |
| license_str | Not specified — see source repository |
| provenance_str_mv | Harvested via OAI-PMH from UCTD — University of Cape Town Open Access Repository |
| publishDate | 2024 |
| publishDateRange | 2024 |
| publishDateSort | 2024 |
| publisher | Division of General Surgery |
| publisherStr | Division of General Surgery |
| record_format | dspace |
| source_str | UCTD — University of Cape Town Open Access Repository |
| spelling | oai:open.uct.ac.za:11427/39585 Outcomes of uveitic cataract surgery in a cohort of South African children Kennedy, Clare Tinley, Christopher Steffen Jonel Ophthalmology BACKGROUND: Cataract formation is a common and potentially blinding complication of paediatric uveitis. Surgical management approach remains a point of controversy. The purpose of this study was to determine the peri- and postoperative outcomes of uveitic cataract surgery in a cohort of South African children. METHODS: Retrospective case-series of paediatric patients with uveitis who underwent cataract surgery between 01/01/2010 to 31/12/2020. The main outcome measures were postoperative best corrected visual acuity (BCVA), intra- and postoperative complications, and immunosuppressive requirements. RESULTS: The study included 18 eyes from 14 patients. Fifteen eyes underwent a pars plana vitrectomy, lensectomy with capsulectomy and were left aphakic. Three eyes had an anterior approach lensectomy with insertion of a posterior chamber intraocular lens (PCIOL). All eyes had improvement in BCVA, with a mean gain of 5 lines. BCVA equal to or better than 6/12 was achieved in 68.8% of eyes with 62.5% seeing 6/9 or 6/6. The most common post operative complication was cystoid macular oedema (CMO). Of the 3 eyes that had PCIOLs inserted, 2 required removal. 2024-05-06T13:58:45Z 2024-05-06T13:58:45Z 2023 2024-05-06T13:29:06Z Thesis / Dissertation Masters MMed http://hdl.handle.net/11427/39585 eng application/pdf Division of General Surgery Faculty of Health Sciences |
| spellingShingle | Ophthalmology Kennedy, Clare Outcomes of uveitic cataract surgery in a cohort of South African children |
| thesis_degree_str | Master's |
| title | Outcomes of uveitic cataract surgery in a cohort of South African children |
| title_full | Outcomes of uveitic cataract surgery in a cohort of South African children |
| title_fullStr | Outcomes of uveitic cataract surgery in a cohort of South African children |
| title_full_unstemmed | Outcomes of uveitic cataract surgery in a cohort of South African children |
| title_short | Outcomes of uveitic cataract surgery in a cohort of South African children |
| title_sort | outcomes of uveitic cataract surgery in a cohort of south african children |
| topic | Ophthalmology |
| url | http://hdl.handle.net/11427/39585 |
| work_keys_str_mv | AT kennedyclare outcomesofuveiticcataractsurgeryinacohortofsouthafricanchildren |