The posterior capsulotomy size affects the formation of significant visual axis opacification in paediatric cataract

Session Details

Session Title: Paediatric Cataract Surgery

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

Paper Time: 08:18

Venue: Hall C1

First Author: : O.Eski Yucel TURKEY

Co Author(s): :    A. Gul                    

Abstract Details

Purpose:

To assess the relationship between posterior capsulotomy size and significant visual axis opacifications in congenital and developmental cataract.

Setting:

This retrospective study was conducted at the Ondokuz Mayis University Hospital, Samsun, Turkey.

Methods:

Charts of the children who underwent pediatric cataract surgery between 2012 and 2015 were reviewed. Demographic and clinical characteristics included age at the time of surgery, whether intraocular lens (IOL) implantation was performed, need for a neodymium:YAG (Nd:YAG) laser or further surgery for significant visual axis opacification, and other postoperative complications, were noted. Eyes with smaller posterior capsulotomy size than the anterior capsulotomy size were considered as group 1. Eyes with larger posterior capsulotomy size from the anterior capsulotomy size were considered as group 2. The need for Nd:YAG laser or further surgery, and other postoperative complications were compared.

Results:

46 eyes of 32 children were included the study. The mean age at the time of surgery was 5.8±3.3 and 3.4±2.7 years in group 1 and 2, respectively. Seven (31.8%) eyes received Nd:YAG in group 1, but any eye did not receive Nd:YAG in group2. Pseudophakic 3 (13.6%) eyes (2 eyes for proliferation of lens material (PLM) and pupillary membrane, and 1 eye for PLM and IOL dislocation) received further surgery in group1. Aphakic 1 (4.2%) eye (for PLM and pupillary membrane) received further surgery in group 2. The need for further intervention for significant visual axis opacifications statistically higher in group 1 (p=0.003).

Conclusions:

Larger posterior capsulotomy size in congenital and developmental cataract may cause less need for intervention for significant visual axis opacification.

Financial Disclosure:

NONE