Over the last 2–3 decades, it has been proven that cataract surgery has been of immense benefit in visual rehabilitation of patients with uveitis and cataract. Cataract surgery with lens implantation has been established as a safe modality of treating cataract in pts with uveitis. (9, 10)
Conventional cataract surgery for complicated cataract secondary to chronic uveitis is confronted with many complications, such as recurrent inflammation, pupillary membrane, glaucoma, etc. [11] This could be due to existing cystoid macular oedema as a part of the uveitic disease process, as has been reported by Diamond et al[12]. But it is hard to determine pre-existing findings before surgery in presence of the cataract. Diamond et all are of the opinion that mechanical removal and debridement of the vitreous framework in association with the lens, facilitates the elimination of the cellular material from the vitreous cavity i.e. large number of inflammatory cells in the vitreous cavity and the persistent immune complexes are mechanically reduced and contributes to the beneficial effect in such cases.
Bhargava et al reported small incision cataract surgery with lens implant is safe in post uveitic cataracts. (13)
Yi Hu Jo et al reported Phacoemulsification and IOL implantation in selected cases of coexisting cataracts and corneal opacities is safe that can provide suboptimal but long-term vision when penetrating keratoplasty is not possible or at high-risk of graft failure. ASOCT is a simple tool to predict visual outcomes after cataract surgery in opacified corneas (14)
Sinha et al reported Extracapsular cataract extraction and intraocular lens implantation with pupillary sphincterotomy provides ambulatory and useful vision to patients of cataract with coexisting central leucomatous corneal opacity (15)
Authors previous studies reported traumatic cataracts has optimum outcome if managed according to morphology and proper protocols in adult as well as pediatric population. (16, 17)
Elanore et al and Olcker et al reported In patients with lens induced uveitis and phakolytic uveitis in the developing world where cataract surgery rates are lower, LIU rates are higher together with the associated complications. (18, 19)
Azhany Y et al reported outcome of neglected cataracts in Malaysia (20)
Joshi et al reported high incidence of primary capsular opacity and reduction in vision in rural population with neglected cataract. (21)
Agarekar et al reported Cataract surgery with IOL implantation in vasectomized eyes among children is a safe procedure and can improve visual acuity and quality of life (22)
Gopal et al reported Cataract surgery in these eyes can pose a challenge due to a combination of microphthalmos and relatively hard lenses, resulting in increased risk of intra-operative complications. (23)
Current study has reported collective visual outcome for all conditions for spectrum of multiple conditions resulting in significant improvement in vision and significant difference amongst different clinical conditions.
We are not aware about any study reported similar findings for all clinical conditions.