Results of cataract extraction in patients with heterochromic iridocyclitis-Fuchs

To evaluate the visual outcomes and complications of extracapsular cataract extraction or phacoemulsification and posterior chamber intraocular lens implantation in patients with Fuchs heterochromic iridocyclitis. We evaluted preoperative and postoperative visual acuities and intraoperative and postoperative complications in 25 patients with clinically diagnosed Fuchs heterochromic iridocyclitis and cataract. Fifteen female and ten male patients aged 12 years to 40 (mean 34 years) were operated and followed. Preoperatively, the best corrected visual acuity was 5/60 all patients, which improved 0,4 to 0,7 (16%) or better 0,8 to 1,0 (72%) after surgery. The only intraoperative complication was Amsler sign in 2 patients (8%). Postoperatively, mild anterior chamber reaction occurred in 4 patients (16 %). During follow-up, one eye (4%) developed posterior capsule opacification requiring a neodymium: YAG laser capsulotomy. Phacoemulsification with posterior chamber intraocular lens implantation is effective and safe procedure with good visual outcomes in patients with Fuchs heterochromic iridocyclitis and cataract.