Outcome of cataract surgery in Scleritis patients Bhupesh

Outcome of cataract surgery in Scleritis patients Bhupesh Bagga Cornea & Anterior Segment Department L. V. Prasad Eye Institute, Hyderabad, India Financial Disclosure: None

Purpose • To evaluate the outcome of cataract surgery in patients with scleritis.

Method • Retrospective review of records • Inclusion criteria – Patients having Cataract surgery done in presence of scleral thinning or history of scleritis • Patients who presented with active scleritis first managed and then cataract surgery performed.

Outcome measure • Safety of cataract surgery • Visual improvement • Recurrence of scleritis after cataract surgery.

Results Preopertive Data • Number of eyes -13(12 patients) • 9 (75%) were female. • Age ranges from 30 -60 yr • Cataract grades range from Nuclear sclerosis grade 2 with Posterior sub capsular to mature cataract.

Preoperative visual acuity Range of Visual acuity No. of patients <20/400 6 20/400 -20/100 4 >20/100 2

Preoperative Data Of Scleritis at presentation

Cataract surgery : Technique

Post Operative Visual Acuity

Complications • 2 cases had increased anterior chamber inflammation after surgery, that was managed with topical and oral steroids. • One case in which Trabeculectomy was performed developed bleb leak which was managed conservatively. • 2 cases have developed superficial punctate keratopathy, managed with lubricants.

Conclusion • Cataract surgery is safe in patients with history of scleritis if under control. • Both Corneal and Scleral routes are equally safe. • There is no role of Increased immunosuppression during preoperative or intraoperative duration.