Cataract Extraction on One Seeing Eye in Patient with Behcet’s Disease

Автор(и)

  • Nurul Fitri Shabrina Airlangga university, Індонезія
  • Dicky Hermawan Department of Infection and Immunology Airlangga University/Dr Soetomo Hospital, Індонезія
  • Randi Montana Department of Infection and Immunology Airlangga University/Dr Soetomo Hospital,

Ключові слова:

Behcet’s disease, Cataract extraction, one-seeing eye

Анотація

Introduction :Behcet’s Disease is autoimmune relapsing systemic vasculitis of unknown that can cause uveitis and affect the anterior and posterior segment of the eye. Cataract is the most common complication of anterior segment caused by recurrent uveitis. This case was to report the outcomes and complications of cataract surgery in patients with Behçet's disease.  Case report: A of 35 years old man complained progressive visual loss since 6 months before admission with VA 1 meter finger counting and NLP.  There was history of recurrent redness on both eyes accompanied by blurred vision and pain, oral aphtosis, and genital aphtosis since three years before admission but didn’t seek help because of low access to healthcare in his previous home. From anterior segment examination there was posterior synechia, cloudy lens, pupil secclusion, rubeosis iridis, flare and cell suggesting chronic uveitis. There was elevated IOP of 43.4 mmHg on left eye. Retinal vasculitis was found on posterior segment examination. Result : After combination of methylprednisolone and azathioprine for one  year, there were improvement of quieter condition on both eyes and decreased left eye IOP of 37.2 mmHg. Lens extraction with iris retractor was done after three months of no inflammatory response. Despite uneventfull surgery and combination of immunosupresive medication, the visual acuity are not much improved and there was optic atrophy from the complication of chronic Behcet’s disease. Conclusion : In patient with chronic Behcet’s disease, ocular involvement can affect both anterior and posterior segments with poor visual outcome regarding its complication

 DOI: 10.5281/zenodo.4382252

Біографія автора

Nurul Fitri Shabrina, Airlangga university

resident of ophthalmology

Посилання

Paovic, J., Paovic, P., & Sredovic, V. (2013). Behcet's disease: systemic and ocular manifestations. BioMed research international, 2013, 247345. https://doi.org/10.1155/2013/2473451993;111:773–775. [PubMed: 8512477]

Leonardo, N. M., & McNeil, J. (2015). Behcet’s Disease: Is There Geographical Variation? A Review Far from the Silk Road. International Journal of Rheumatology, 2015, 1–7. https://doi.org/10.1155/2015/945262

Hussein, M. A., Eissa, I. M., & Dahab, A. A. (2018). Vision-Threatening Behcet’s Disease: Severity of Ocular Involvement Predictors. Journal of Ophthalmology, 2018, 1–6. https://doi.org/10.1155/2018/9518065

Saleh, Z., & Arayssi, T. (2014). Update on the therapy of Behçet disease. Therapeutic advances in chronic disease, 5(3), 112–134. https://doi.org/10.1177/2040622314523062

Kadayifçilar, S., Gedik, Ş., Eldem, B., & İrkeç, M. (2002). Cataract surgery in patients with Behçetʼs disease. Journal of Cataract & Refractive Surgery, 28(2), 316–320. https://doi.org/10.1016/s0886-3350(01)01023-9

Rokutanda, R., Kishimoto, M., & Okada, M. (2014). Update on the diagnosis and management of Behçet's disease. Open access rheumatology : research and reviews, 7, 1–8. https://doi.org/10.2147/OARRR.S46644

Esra Sahli and Ozlem Gurbuz-Koz (May 31st 2017). Ocular Manifestations of Behçet’s Disease, Behcet's Disease, Muzeyyen Gonul and Selda Pelin Kartal, IntechOpen, DOI: 10.5772/intechopen.69049. Available from: https://www.intechopen.com/books/behcet-s-disease/ocular-manifestations-of-beh-et-s-disease

Alpsoy, E. (2012). New Evidence-Based Treatment Approach in Behçet’s Disease. Pathology Research International, 2012, 1–11. https://doi.org/10.1155/2012/871019

Saadoun, D., Wechsler, B., Terrada, C., Hajage, D., Le Thi Huong, D., Resche-Rigon, M., … Cacoub, P. (2010). Azathioprine in severe uveitis of Behçet’s disease. Arthritis Care & Research, 62(12), 1733–1738. https://doi.org/10.1002/acr.20308

Agrawal, R., Murthy, S., Ganesh, S. K., Phaik, C. S., Sangwan, V., & Biswas, J. (2012). Cataract Surgery in Uveitis. International Journal of Inflammation, 2012, 1–16. https://doi.org/10.1155/2012/548453

Berker N, Soykan E, Elgin U, Ozkan SS. Phacoemulsification cataract extraction and intraocular lens implantation in patients with Behçet's disease. Ophthalmic Surgery, Lasers & Imaging : the Official Journal of the International Society for Imaging in the Eye. 2004 May-Jun;35(3):215-218

##submission.downloads##

Опубліковано

2020-12-21

Як цитувати

Shabrina, N. F., Hermawan, D., & Montana, R. (2020). Cataract Extraction on One Seeing Eye in Patient with Behcet’s Disease. Анали Мечниковського Інституту, (4), 83–87. вилучено із https://journals.uran.ua/ami/article/view/219018

Номер

Розділ

Дослідні статті