Purpose- Fuchs heterochromic uveitis is a less common but important cause of complicated cataract in the younger population. Though cataract surgery carries good visual outcomes, almost similar to other cataracts, a thorough pre-operative evaluation is important to understand and manage some of the rare and specific intra and post-operative complications. We present a series of 27 patients of Fuchs heterochromic uveitis who presented with complicated cataract and were managed with small incision cataract surgery with posterior chamber intra ocular lens implantation.
Methods- A total of 27 patients were included in our study. All patients had a comprehensive ophthalmic evaluation and a diagnosis of Fuchs heterochromic uveitis was confirmed. After thorough pre-operative investigations all the patients underwent small incision cataract surgery with posterior chamber intra ocular lens implantation. The patients were followed up on day one, at one week and six weeks post operatively.
Results- In our study, 63% patients belonged to the age group of 21-30years. The classical intraoperative sign of Amsler was seen in 22%. Though 40% patients had some type of post-operative complication, the final visual acuity was better than 20/40 in 81.48% with adequate medical management.
Conclusion- Proper preoperative evaluation, a well executed cataract surgery and regular post-operative follow ups with early management of any post-operative complication improves the outcome of cataract surgery in patients of Fuchs heterochromic uveitis.
