Question
A 32-year-old woman has chronic idiopathic iridocyclitis, cataract, and a small bound down pupil. Cataract phacoemulsification surgery is scheduled. Which of the following is true?
| A. |
active inflammation has no influence in the timing of surgery.
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| B. |
oral corticosteroids are always contraindicated.
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| C. |
posterior synechiolysis is contraindicated.
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| D. |
if possible, an anterior chamber intraocular lens (lOL) should be avoided in favor of an in the bag IOL
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Show Answer
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Correct Answer � D
Explanation
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Answer D. if possible, an anterior chamber intraocular lens (lOL) should be avoided in favor of an in the bag IOL
Explanation: The timing of cataract surgery should be such as to perform the surgery when the inflammation is at its least. As a rule surgery should not be performed until the uveitis has been quiescent for 6 to 12 months. Oral steroids probably should be administered the week before surgery and then tapered over the next two to three weeks. Synechialysis usually is performed. With the use of pupil-expanding techniques the iris can be stabilized and both capsulorhexis and phacoemulsification can be carried out, along with in-the-bag placement of the IOL.
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