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Bilateral simultaneous cataract surgery in congenital dense cataract

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First Author: A.Oral TURKEY

Co Author(s):    A. Kaplan                    

Abstract Details

Purpose:

The aim of this study is to evaluate the surgical approach, complications and safety of bilateral simultaneous cataract surgery in bilateral dense congenital cataract.

Setting:

Department of Ophthalmology, Afyonkarahisar Health Sciences University,Afyonkarahisar, Turkey Department of Ophthalmology, Dr. Lutfi Kırdar Kartal Training and Research Hospital, Istanbul, Turkey

Methods:

A retrospective study of children who presented with bilateral dense congenital cataract between 2009 and 2019. Twenty two children underwent bilateral cataract surgery in the same session under general anesthesia. Twelve patients had various associated systemic syndromes or disease. All patients had bilateral lens aspiration-primary posterior capsulotomy and anterior vitrectomy. The range of follow-up was 12 months to ten years. None of the patients underwent primary intraocular lens implantation. Nine patients had secondary intraocular lens (İOL) implantation around two years old. All surgeries performed by an experienced surgeon under strict surgical protocol.

Results:

Forty-four eyes with bilateral congenital cataract were included in this study. Mean age at surgery was 3.6 months (range1-10). Any intraoperative ocular and anesthesia complications were not seen. Postoperative complications included aphakic glaucoma (2.3%), reproliferation of lens material (9.1%) and fibrinoid reaction (6.8%). Four eyes with reproliferation of lens material and 2 eyes with fibrinoid reaction required resurgery. No eyes developed endophthalmitis. The mean refractive error was -0.83 ± 2.65 D ( range -5.0 to +3.0 ) in pseudophakic eyes and +16.21±1.78 D (range +12.75 to +18.50 ) in aphakic eyes. Mean best-corrected visual acuity was 0.42 ± 0.3 LogMAR.

Conclusions:

Bilateral simultaneous cataract surgery in pediatric patients was performed safely and there were no intraoperative ocular and anesthetic complications. In selected patients it may reduce the risks related anesthesia and delayed surgery.

Financial Disclosure:

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