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Posterior capsule opacification (PCO) in paediatric eyes with and without traumatic cataract surgery with in-the-bag single-piece hydrophobic acrylic IOL implantation
Poster Details
First Author: M.Kamel SAUDI ARABIA
Co Author(s):
Abstract Details
Purpose:
To compare incidence of PCO in pediatric eyes with traumatic and nontraumatic
cataract.
Setting:
Magrabi Hospital Aseer
Methods:
Control group was matched in reference to age, follow-up, primary
management of posterior capsule, and type of IOL (SA60AT, SN60AT & SN60WF).
Results:
n=62 (31 in each group). Traumatic versus non-traumatic group: age 8.4
versus 9.1 years (p = 0.7); follow-up: 2.4 versus 2.6 years (p = 0.9); intact posterior
capsule: 14 in each group; second procedure for PCO: 13/31 (42%) eyes in traumatic
versus 2/31 (6.5%) in non-traumatic group (p = 0.005).
Conclusions:
Even with age appropriate management of the posterior capsule, eyes
with traumatic cataract are more likely to develop visual axis opacification than eyes
with nontraumatic cataract. This difference persists in subgroup analysis of those with
primary posterior capsulotomy and vitrectomy. Because of the increased risk for PCO, primary posterior capsulotomy and vitrectomy should be recommended and considered in pediatric traumatic cataract, even for older children FINANCIAL INTEREST: NONE