Extracapsular cataract surgery with and without intraocular lens implantation in Fuchs' Heterochromic Uveitis.

The results of extracapsular cataract extraction, with or without posterior chamber intraocular lens (IOL) implantation, in Fuchs Heterochromic Uveitis, are reported. Twenty-nine patients underwent 30 operations. Twenty-two patients (73%) obtained a visual acuity of 6/12 or better. Post-operative uveitis or glaucoma were encountered in 13 eyes, including 11 of 20 eyes with IOL implantation (55%), and two of ten eyes without IOL implantation (20%). IOL implantation is a significant additional factor in cataract surgery in patients with FHU. Preoperative risk factors include severe iris atrophy, secondary glaucoma, and severe abnormalities of iris vasculature. IOL implantation is not recommended in these eyes. The routine postoperative use of anti-glaucoma medication is recommended. Long-term postoperative follow-up is important.