PMID- 28208900
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20200930
IS  - 2249-782X (Print)
IS  - 0973-709X (Electronic)
IS  - 0973-709X (Linking)
VI  - 10
IP  - 12
DP  - 2016 Dec
TI  - Fuchs Heterochromic Iridocylitis: Clinical Characteristics and Outcome of 
      Cataract Extraction with Intra Ocular Lens Implantation in a Kashmiri Population- 
      A Hospital Based Study.
PG  - NC13-NC16
LID - 10.7860/JCDR/2016/21244.9111 [doi]
AB  - INTRODUCTION: Fuchs Heterochromic Iridocylitis (FHI) is a rare form of uveitis 
      which is frequently complicated by cataract and glaucoma, but it does not show 
      typical features of uveitis like pain, redness and posterior synechia. AIM: To 
      study the clinical characteristics and outcome of cataract extraction with Intra 
      Ocular Lens (IOL) implantation in patients with FHI. MATERIALS AND METHODS: The 
      present prospective study was carried out in the Postgraduate Department of 
      Ophthalmology, Sher-i-Kashmir Institute of Medical Sciences (SKIMS), Bemina from 
      March 2012 to January 2015. The study included 33 eyes of 32 patients of FHI who 
      underwent thorough clinical examination and cataract surgery with IOL 
      implantation and were evaluated based on their visual outcome and intra and 
      post-operative complications. Post-operative follow-up was done on 1(st) day, one 
      week, one month, two month, six month and at twelve months. RESULTS: Mean age of 
      our study group was 33.9 years (Range 18 to 65 years). No male or female 
      preponderance was seen. There was bilateral involvement of eyes in only one case. 
      Cataract and stellate keratic precipitates were present in all cases whereas, 
      heterochromia was present in only six eyes (18.75%). Best Corrected Visual Acuity 
      (BCVA) showed a significant improvement following cataract surgery (p<0.001). 
      Post-operatively, 26 eyes (78.78%) showed an improvement of four lines or more 
      (BCVA of > 6/12). Most common causes of decreased vision post-operatively were 
      vitreous opacities in nine eyes (27.27%) followed by glaucoma in eight eyes 
      (24.24%) and posterior capsular opacification in six eyes (18.18%). CONCLUSION: 
      Cataract extraction with IOL lens implantation in FHI is a safe procedure 
      associated with good visual prognosis and few complications. However, glaucoma is 
      one of the main concerns and should be closely monitored both pre and 
      post-operatively.
FAU - Rashid, Wasim
AU  - Rashid W
AD  - Senior Resident, Department of Ophthalmology, SKIMS, Medical College , Bemina, 
      Srinagar, India .
FAU - Lone, Imtiyaz
AU  - Lone I
AD  - Assistant Professor, Department of Opthalmology, SKIMS, Medical College , Bemina, 
      Srinagar, India .
FAU - Mir, Adil Majid
AU  - Mir AM
AD  - Fellow Paediatric Ophthalmology, LVPEI , Hyderabad, India .
FAU - Rashid, Aamir
AU  - Rashid A
AD  - Post Doctoral Fellow Paediatric Cardiology, SCTIMST , Trivenderum, Kerela, India 
      .
FAU - Latif, Mehreen
AU  - Latif M
AD  - Tutor Demonstrator, Department of Forensic Medicine, SKIMS, Medical College , 
      Bemina, Srinagar, India .
LA  - eng
PT  - Journal Article
DEP - 20161201
PL  - India
TA  - J Clin Diagn Res
JT  - Journal of clinical and diagnostic research : JCDR
JID - 101488993
PMC - PMC5296473
OTO - NOTNLM
OT  - Best corrected visual acuity
OT  - Glaucoma
OT  - Synechia
EDAT- 2017/02/18 06:00
MHDA- 2017/02/18 06:01
PMCR- 2017/02/01
CRDT- 2017/02/18 06:00
PHST- 2016/05/11 00:00 [received]
PHST- 2016/10/19 00:00 [accepted]
PHST- 2017/02/18 06:00 [entrez]
PHST- 2017/02/18 06:00 [pubmed]
PHST- 2017/02/18 06:01 [medline]
PHST- 2017/02/01 00:00 [pmc-release]
AID - 10.7860/JCDR/2016/21244.9111 [doi]
PST - ppublish
SO  - J Clin Diagn Res. 2016 Dec;10(12):NC13-NC16. doi: 10.7860/JCDR/2016/21244.9111. 
      Epub 2016 Dec 1.