Eyeworld Daily News

2018 APACRS Chiang May Daily Friday

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A welcome from the APACRS President by Ellen Stodola EyeWorld Senior Staff Writer/Digital Editor Uveitis and cataract surgery by Ellen Stodola EyeWorld Senior Staff Writer/Digital Editor EyeWorld Daily News • The official APACRS Chiang Mai Show Daily Friday, July 20, 2018 daily.eyeworld.org continued on page 3 continued on page 4 Cataract surgery and the retina by Ellen Stodola EyeWorld Senior Staff Writer/Digital Editor Chairs of a session on cataract surgery and the retina on Thursday morning Wantanee Sittivarakul, MD A Thursday morning sym- posium presented by the Thai Retinal Society (TRS) shared various presen- tations with attendees relating to cataract surgery and the retina. Tharikarn Sujirakul, MD, Bangkok, Thailand, spoke about "All You Need to Know about Cataract Surgery in Retinal Dystrophy." She said that the impact of cat- aracts in retinal dystrophy patients is well known, and she added that these patients may be more sensi- tive to lens opacity compared to normal patients. Higher intraocular light scattering can also occur, as well as compromised photoreceptor function. Dr. Sujirakul said that, for these patients, it's about dealing with some of the concerns and differ- ences from normal patients. Some of the main concerns are if the patient's vision will improve, if the cataract will quicken RP progression, and if there will be phototoxicity. So, will the patient's vision im- prove? Dr. Sujirakul said yes, it will. There is significant visual improve- ment in terms of visual acuity or C ataract surgery in uveitis was the topic of a Thurs- day morning symposium presented by the Thai Ocular Immunology and Inflammation Society (TOIS). During the session, Wantanee Sittivarakul, MD, Songkhla, Thai- land, discussed preoperative evalua- tion in these cases. Cataract is a common com- plication of uveitis, she said. "It's almost never a routine surgery in uveitic eyes," Dr. Sittivarakul said. It requires a detailed preoperative assessment, is often technically complex intraoperatively, and there may be uncertainty of the postoper- ative course. She then went through seven points of important things to consider preoperatively. First, you should try to establish an accurate diagnosis of uveitis, she said. To do this, obtain appropriate medical history and labs and define uveitis by course, laterality, and an- atomic location. Different diagnoses have different prognosis, she said, and infectious uveitis must be iden- tified and treated. Next, she said it's important to determine the need for cataract surgery. Indications for cataract surgery include visually significant cataract in eyes with good potential for improved vision, lens induced intraocular inflammation, and poor view of fundus for examination or posterior segment surgery. She also said to determine whether or not the cataract is responsible for the patient's visual loss. Next, Dr. Sittivarakul stressed the importance of doing a complete ophthalmic evaluation. This in- cludes assessing the visual potential and coexisting ocular problems, as well as doing an assessment of other conditions, which affect surgical planning. The timing of the surgery is also important. Dr. Sittivarakul said preoperative inflammation control is crucial for a good outcome. She added that quiescence of uveitis for minimum of 3 months prior to surgery is important. But, if this is not possible, you can do the surgery when the inflammation is maximal-

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