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Peer-reviewed veterinary case report

Cat cataract surgery outcomes after phacoemulsification in 71 cats

By Fenollosa-Romero, Elena et al.·Published in Veterinary ophthalmology·2020·Dick White Referrals, United Kingdom·View original on PubMed

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Original publication title: Outcome of phacoemulsification in 71 cats: A multicenter retrospective study (2006-2017).

Species:
cat

Plain-English summary

A group of 71 cats with cataracts underwent a surgery called phacoemulsification to improve their vision. Most cats had a successful outcome, with about 93% showing good vision after a year. However, many experienced complications like uveitis (inflammation of the eye) shortly after surgery, and some developed posterior capsular opacity (a clouding of the lens) or synechia (adhesions in the eye) later on. Overall, while the surgery was effective for most, pet owners should be aware of potential complications that can arise during recovery.

People also search for: cat cataract surgery recovery · cat eye inflammation treatment · complications after cat eye surgery

Abstract

PURPOSE: To assess outcome of phacoemulsification in cats. METHODS: Records of 71 cats (82 eyes) from five referral centers were reviewed. Groups were divided by cause of cataract (congenital/juvenile [n = 32], traumatic [n = 33], and secondary to uveitis [n = 6]), and group comparisons were performed for the most common complications: postoperative ocular hypertension (POH), uveitis, corneal ulceration, synechia/dyscoria, and posterior capsular opacity (PCO) in three different time periods: immediately postoperatively, at 1-90 days, and at >90 days. RESULTS: Median follow-up was 198 days (interquartile range 64-518 days). The overall visual success rate of the cats with a 12-month follow-up was 92.6% (25/27 eyes). POH occurred in 35/82 (42.6%) eyes. Immediately postoperatively, uveitis was the most common complication in 28/82 eyes (34.1%) followed by corneal ulceration in 22/82 eyes (26.8%). At 1-90 days, uveitis in 41/81 eyes (50.6%) remained the most common complication, followed by synechia/dyscoria in 21/81 eyes (25.9%), corneal ulceration in 16/81 eyes (19.7%), and PCO in 15/81 eyes (18.5%). At >90 days, PCO in 17/47 eyes (36.1%), followed by synechia/dyscoria in 16/47 eyes (34%), was the most common complications. The number of eyes with synechia/dyscoria in the trauma group was higher (13/33 [39.3%]) than in the congenital/juvenile group (5/31 [16.1%]) at 1-90 days (P = .039). No statistical difference was found for the other group comparisons. Three eyes in total were enucleated owing to endophthalmitis, post-traumatic ocular sarcoma, and secondary glaucoma. CONCLUSION: Uveitis in the short-term and PCO and synechia/dyscoria in the long-term were the most common complications following phacoemulsification in cats.

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Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/31328856/