The IOL power calculation is an
important consideration, and it has
implications in your decision of how
to optically correct the eye."
Evidence regarding IOL im-
plantation in children with uveitis
is mixed, and specialists like Dr.
Pavesio use their best judgment in
choosing the optimal approach,
and have been conservative in their
stand on the matter.
"Patients who have the disease
early and have developed severe
sequelae are more likely to have
postoperative inflammation and
are bad candidates for IOL implan-
tation," he said. "A young child
who has poorly controlled uveitis,
presenting with extensive posterior
synechiae, pupillary membrane and
a white cataract is a bad candidate
for intraocular lens implantation—I
prefer to leave them aphakic and do
the very best to stimulate the eye
optically with contact lenses soon
after surgery." EW
Reference
Hooper PL, Rao NA, Smith RE. Cataract
extraction in uveitis patients. Surv Ophthalmol
1990; 35(2):120–144.
Editors' note: Dr. Pavesio has no finan-
cial interest related to his comments.
Contact information
Pavesio: carlos.pavesio@moorfields.nhs.uk
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Challenges continued from page 145
Inflammatory deposits on the anterior surface of the IOL following uveitic cataract
surgery as seen with direct illumination (top) and retroillumination (bottom).
Source: James P. Dunn, MD
