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Article

Cataract Surgery with Intraocular Lens Implantation in Juvenile Idiopathic Arthritis-Associated Uveitis: Outcomes in the Era of Biological Therapy

1
Ocular Immunology Unit, Azienda USL-IRCCS di Reggio Emilia, 42121 Reggio Emilia, Italy
2
Ophthalmology, University Campus Bio-Medico, 00128 Rome, Italy
3
Eye Unit, Azienda USL-IRCCS di Reggio Emilia, 42121 Reggio Emilia, Italy
4
Department of Medicine and Surgery, University of Parma, 43126 Parma, Italy
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Department of Biomedical and Clinical Science “Luigi Sacco”, Eye Clinic, Luigi Sacco Hospital, University of Milan, 20157 Milan, Italy
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Pediatric Rheumatology Unit, Azienda USL–IRCCS di Reggio Emilia, 42121 Reggio Emilia, Italy
7
Rheumatology Unit, Department of Internal Medicine, Azienda USL–IRCCS di Reggio Emilia, 42121 Reggio Emilia, Italy
*
Author to whom correspondence should be addressed.
Academic Editors: Rodolfo Mastropasqua and Andrzej Grzybowski
J. Clin. Med. 2021, 10(11), 2437; https://doi.org/10.3390/jcm10112437
Received: 29 April 2021 / Revised: 21 May 2021 / Accepted: 29 May 2021 / Published: 31 May 2021
(This article belongs to the Special Issue Updates in Ocular Surgery)
This study compared the outcomes of cataract surgery with intraocular lens (IOL) implantation in patients with juvenile idiopathic arthritis (JIA)-associated chronic anterior uveitis treated with antimetabolite drugs and systemic corticosteroids (Non-Biological Group) versus patients treated with antimetabolites and biological drugs (Biological Group). A cohort of patients with cataract in JIA-associated uveitis undergoing phacoemulsification with IOL implantation was retrospectively evaluated. The main outcome was a change in corrected distance visual acuity (CDVA) in the two groups. Ocular and systemic complications were also recorded. The data were collected preoperatively and at 1, 12, and 48 months after surgery. Thirty-two eyes of 24 children were included: 10 eyes in the Non-Biological Group and 22 eyes in the Biological Group. The mean CDVA improved from 1.19 ± 0.72 logMAR preoperatively to 0.98 ± 0.97 logMAR at 48 months (p = 0.45) in the Non-Biological Group and from 1.55 ± 0.91 logMAR preoperatively to 0.57 ± 0.83 logMAR at 48 months (p = 0.001) in the Biological Group. The postoperative complications, including synechiae, cyclitic membrane, IOL explantation, glaucoma, and macular edema, were not statistically different between the two groups. An immunosuppressive treatment with biological drugs can improve the visual outcome after cataract surgery in patients with JIA-associated uveitis, but it does not significantly reduce postoperative ocular complications. View Full-Text
Keywords: uveitis; juvenile idiopathic arthritis; JIA; biologicals; cataract surgery; intraocular lens; IOL uveitis; juvenile idiopathic arthritis; JIA; biologicals; cataract surgery; intraocular lens; IOL
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MDPI and ACS Style

Bolletta, E.; Coassin, M.; Iannetta, D.; Mastrofilippo, V.; Aldigeri, R.; Invernizzi, A.; de Simone, L.; Gozzi, F.; De Fanti, A.; Cappella, M.; Adani, C.; Neri, A.; Moramarco, A.; De Maria, M.; Salvarani, C.; Fontana, L.; Cimino, L. Cataract Surgery with Intraocular Lens Implantation in Juvenile Idiopathic Arthritis-Associated Uveitis: Outcomes in the Era of Biological Therapy. J. Clin. Med. 2021, 10, 2437. https://doi.org/10.3390/jcm10112437

AMA Style

Bolletta E, Coassin M, Iannetta D, Mastrofilippo V, Aldigeri R, Invernizzi A, de Simone L, Gozzi F, De Fanti A, Cappella M, Adani C, Neri A, Moramarco A, De Maria M, Salvarani C, Fontana L, Cimino L. Cataract Surgery with Intraocular Lens Implantation in Juvenile Idiopathic Arthritis-Associated Uveitis: Outcomes in the Era of Biological Therapy. Journal of Clinical Medicine. 2021; 10(11):2437. https://doi.org/10.3390/jcm10112437

Chicago/Turabian Style

Bolletta, Elena, Marco Coassin, Danilo Iannetta, Valentina Mastrofilippo, Raffaella Aldigeri, Alessandro Invernizzi, Luca de Simone, Fabrizio Gozzi, Alessandro De Fanti, Michela Cappella, Chantal Adani, Alberto Neri, Antonio Moramarco, Michele De Maria, Carlo Salvarani, Luigi Fontana, and Luca Cimino. 2021. "Cataract Surgery with Intraocular Lens Implantation in Juvenile Idiopathic Arthritis-Associated Uveitis: Outcomes in the Era of Biological Therapy" Journal of Clinical Medicine 10, no. 11: 2437. https://doi.org/10.3390/jcm10112437

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