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A case of scleroderma with uveitis followed up for over ten years after cataract surgery Kei Nakayama 1 , Satoru Joko 1 1Department of Ophthalmology, National Hospital Organization Tokyo National Hospital pp.1279-1285
Published Date 2020/10/15
DOI https://doi.org/10.11477/mf.1410213708
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Abstract Purpose:To report a case of scleroderma with uveitis and secondary glaucoma who received cataract surgery and was followed up for over 10 years.

Case:A 77-year-old female presented with failing vision in her right eye. She had been diagnosed with scleroderma at the age of 70 years.

Findings and Clinical Course:Corrected visual acuity was 0.01 right and 0.7 left. Both eyes showed uveitis, elevated intraocular pressure(IOP), corneal opacity, and cataract. The right eye showed signs of pathological myopia. Signs of uveitis and elevated IOP normalized after topical treatments. She received phacoemulsification-aspiration(PEA)with intraocular lens(IOL)insertion one year later. There was no complication during surgery. Visual acuity improved to 0.04 right and 0.9 left but fluctuated due to impaired corneal epithelium. Left visual acuity became 0.5 nine years after surgery mainly due to after cataract. There has been no recurrence of uveitis or glaucoma during 10 years after cataract surgery.

Conclusion:Bilateral PEA with IOL insertion was followed by favorable clinical course for over 10 years after PEA and IOL insertion in a patient with scleroderma, uveitis, and secondary glaucoma.


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電子版ISSN 1882-1308 印刷版ISSN 0370-5579 医学書院

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