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  • Ogłoszenia
  • Plan wydawniczy
  • Regulamin ogłaszania prac
  • Zasady recenzowania i recenzenci
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Wydanie 2/2008

Operacje zaćmy u pacjentów z chorobą Behçeta

Cataract Surgeries in Patients with Behçet?s Disease

Joanna Jędrzejczak-Młodziejewska, Justyna Izdebska, Anna Kamińska, Jerzy Szaflik

Katedra i Klinika Okulistyki II Wydziału Lekarskiego Uniwersytetu Medycznego w Warszawie Samodzielny Publiczny Kliniczny Szpital Okulistyczny w Warszawie Kierownik: prof. dr hab. n. med. Jerzy Szaflik

Summary: Behçet?s disease is a multi-systemic disorder, frequent cause of uveitis in Eastern world, rare in Poland. Systemic manifestations of the disease consist of oral mucosa and genital ulcers, erythema nodosum and thrombophlebitis, whereas ocular involvement is mainly characterized by a recurrent non-granulomatous anterior uveitis or iridocyclitis. Cataract formation is the most frequent anterior segment complication caused by uveitis and steroid therapy. Phacoemulsification with intraocular lens implantation is reported to be a safe procedure in patients with Behcet?s disease, although there could be an ocular inflammatory attack after the cataract surgery. The most frequent postoperative complications are posterior capsular opacification, posterior synechiae formation, severe inflammation, cystoid macular oedema, epiretinal membrane formation and optic atrophy. Appropriate preoperative and postoperative suppression of inflammatory reaction and correct timing of the surgery are crucial points to reduce the postoperative complications and to achieve better visual outcomes.

Keywords: Behçet?s disease, phacoemulsification, uveitis.

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