{"id":{"repo_id":"cape-town","oai_identifier":"oai:open.uct.ac.za:11427/39585"},"canonical_url":"https://search.dev.ndltd.org/etd/cape-town/oai:open.uct.ac.za:11427/39585","repository":{"repo_id":"cape-town","name":"University of Cape Town","base_url":"https://open.uct.ac.za/oai/request"},"display":{"title":"Outcomes of uveitic cataract surgery in a cohort of South African children","abstract":"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.","abstract_html":"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.","abstract_has_math":false,"creators":["Kennedy, Clare"],"institution":"Division of General Surgery","degree_name":null,"degree_level":null,"degree_discipline":null,"degree_department":null,"school":null,"contributors":[],"advisors":["Tinley, Christopher","Steffen Jonel"],"committee_chairs":[],"committee_members":[],"year":2023,"date_issued":"2023","date_published":"2023","updated_at":"2026-07-22T22:23:24Z","subjects":["Ophthalmology"],"languages":[],"rights":[],"rights_urls":[],"identifier_entries":[]},"links":{"outbound_url":"http://hdl.handle.net/11427/39585","outbound_label":"Handle","outbound_source":"dc:identifier.uri"},"metadata_groups":[{"id":"people","label":"People","entries":[{"key":"dc:contributor.advisor","label":"Advisor","values":["Tinley, Christopher","Steffen Jonel"]},{"key":"dc:creator","label":"Author","values":["Kennedy, Clare"]}]},{"id":"academic_context","label":"Academic Context","entries":[{"key":"dc:date.accessioned","label":"Dc Date Accessioned","values":["2024-05-06T13:58:45Z"]},{"key":"dc:date.available","label":"Dc Date Available","values":["2024-05-06T13:58:45Z"]},{"key":"dc:date.issued","label":"Date","values":["2023"]},{"key":"dc:publisher.department","label":"Dc Publisher Department","values":["Division of General Surgery"]},{"key":"dc:type","label":"Dc Type","values":["Thesis / Dissertation"]},{"key":"dc:type.qualificationlevel","label":"Dc Type Qualificationlevel","values":["Masters","MMed"]}]},{"id":"subjects_keywords","label":"Subjects and Keywords","entries":[{"key":"dc:subject","label":"Dc Subject","values":["Ophthalmology"]}]},{"id":"identifiers","label":"Identifiers","entries":[{"key":"dc:identifier.uri","label":"Identifier URI","values":["http://hdl.handle.net/11427/39585"]}]},{"id":"additional","label":"Additional Metadata","entries":[{"key":"dc:description.abstract","label":"Abstract","values":["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."]},{"key":"dc:title","label":"Title","values":["Outcomes of uveitic cataract surgery in a cohort of South African children"]}]}],"canonical_facts":{"dc:contributor.advisor":["Tinley, Christopher","Steffen Jonel"],"dc:creator":["Kennedy, Clare"],"dc:date.accessioned":["2024-05-06T13:58:45Z"],"dc:date.available":["2024-05-06T13:58:45Z"],"dc:date.issued":["2023"],"dc:description.abstract":["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."],"dc:identifier.uri":["http://hdl.handle.net/11427/39585"],"dc:publisher.department":["Division of General Surgery"],"dc:subject":["Ophthalmology"],"dc:title":["Outcomes of uveitic cataract surgery in a cohort of South African children"],"dc:type":["Thesis / Dissertation"],"dc:type.qualificationlevel":["Masters","MMed"]},"updated_at":"2026-07-22T22:23:24Z"}