Posters

Surgical pleopto-diploptic-treatment of children with congenital cataracts

Poster Details

First Author: N. Senchenko RUSSIAN FEDERATION

Co Author(s):    K. Nagaeva   O. Rozanova   A. Shchuko              

Abstract Details

Purpose:

To assess the effectiveness of complex treatment of children with congenital cataract by lensectomy with IOL implantation, followed by laser stimulation of the retina in conjunction with binarimeter.

Setting:

Irkutsk Branch of S. Fyodorov Eye Microsurgery Federal State Institution, Irkutsk, Russia

Methods:

23 children (46 eyes) aged from 7 to 12 years were operated for bilateral congenital cataract. Surgery was performed by phacoaspiration with monofocal IOL implantation. All children were divided into 2 groups. 1st group consisted of children with best corrected visual acuity 0.2 and lower, in 2nd group children had best corrected visual acuity 0.3 and above. Within 1 year after surgery all children underwent 4 courses of pleopto-diploptic treatment by the original method using laser stimulation of retina and binarimetry. After each stage of treatment the visual acuity, spatial contrast sensitivity and area of fusion field were investigated.

Results:

As a result of combined treatment the increased resolution of the visual system in children in both groups. Visual acuity in 1st group increased from 0,04±0,02 to 0,12±0,04 (p<0.001); in 2nd group - from 0.28±0.05 to 0,6±0,08 (p<0.001). Indices of spatial contrast sensitivity improved by an average of 3,4±0,12 cycle. deg. (M±s). Area of fusion field increased in 1st group from 230±25 cm2 (before surgery) to 1250±45 cm2 (p<0.001) (after complete course of treatment) and, respectively, in 2nd group from 480±34 cm2 to 2200±130 cm2 (p<0.001).

Conclusions:

Combined consistent effect on all components of the visual system, including surgical treatment, combined with pleopto-diploptic treatment, is effective and allows activating the sensory, motor and proprioceptive mechanisms of activity of the visual system, and improving visual perception even in the visually impaired children.

Financial Disclosure:

NONE