Results of posterior optic capture of IOL in pediatric traumatic cataract

Session Details

Session Title: Paediatric Cataract Surgery

Session Date/Time: Tuesday 13/09/2016 | 08:00-10:30

Paper Time: 08:12

Venue: Hall C1

First Author: : P.Bhasin INDIA

Co Author(s): :                        

Abstract Details

Purpose:

To report our experience of phaco-aspiration/emulsification and foldable IOL implantation with primary posterior capsulotomy and posterior optic capture in pediatric traumatic cataract. The purpose is to avoid problems associated with visual axis opacification and IOL decentration.Methods:

Setting:

All cases done by single surgeon and done at Ratan Jyoti Netralaya, Ophthalmic Institute & Research Centre.

Methods:

In this prospective interventional case series, 48 eyes of 48 pediatric traumatic cataract patients were included. A clear corneal phaco aspiration/emulsification was performed. Corneal tear, uveitis, raised IOP etc were managed to make eye quiet before taking the patient for cataract surgery. A multi piece hydrophobic acrylic foldable IOL was implanted with posterior optic capture. Exclusion criteria included patient having retinal detachment, endophthalmitis, vitreous haemorrhage, no light perception, inadequate capsule support for IOL implantation, uncontrolled glaucoma and with >3 months follow up were not included in the study. Patients were followed for evaluating the visual status and any postoperative complications.

Results:

Mean age of patients was 7.846 years (range 2-15). Mean follow up was 14.76 months (range 6-36). Preoperative BCVA (LogMAR) was 2.5 Mean BCVA at last followup was 0.197(logMAR). Visual axis remained clear in all the patients, with no incidence of posterior capsule opacification and IOL decenteration till the last follow up.

Conclusions:

We observed that posterior optic capture of foldable PCIOL in paediatric cataract cases after primary posterior capsulotomy eliminates visual axis opacification and helps in maintaining well centered IOL with all the benefits of micro-incision cataract surgery.

Financial Disclosure:

NONE