Posters

Cataract surgery in adults with down’s syndrome

Poster Details

First Author: P.Escribano Lopez SPAIN

Co Author(s):    G. Garrido Ceca   S. Porto Castro   C. Leon Niz   P. Marticorena Alvarez   M. Nogueroles Berto   J. Gonzalez Guijarro     

Abstract Details

Purpose:

To describe the results of cataract surgery in 55 eyes of 36 adult patients with Down’s Syndrome in our center.

Setting:

Retrosprective descriptive study of 36 clinical cases.

Methods:

We reviewed the medical records of 36 patients with Down’s Syndrome who underwent cataract surgery in our center between 1996 and 2019. We followed the EUROQUO Coding Guideline for cataract surgery to recover the data. The type of cataract, the type of surgery performed, the material of the Intraocular Lens implanted, complications during and after surgery and the keratometry and biometry of the eyes operated were studied.

Results:

Fifty-five eyes of 36 patients (22 female (61%), 14 male (39%), median age 49.24±7.78) underwent cataract surgery with general anesthesia in 100% of cases. We found white cataract in 8 eyes (14.5%). Bilateral surgery was performed in 19 patients (52%). Facoemulsification technique was used in 48 eyes (87%), extracapsular technique in 2 eyes (3.63%), intracapsular technique in 1 eye (1.8%). Intraoperative ultrasound biometry was used in 17 eyes (30.9%). The mean Km was 47.75±3.66, the average axial lenght was 25.5mm±2.67. The most frequent ocular condition associated was keratoconus (12%,7 eyes). In 3 eyes we had posterior capsule rupture (5.45%).

Conclusions:

We found an increased incidence of white and posterior cataracts. The biometric calculation was challenging in these cases due to the type of cataract and the lack of cooperation of this patients with a high percentage of intraoperative biometry. Facoemulsification technique was safely performed in almost 90% of the cases, although we found a slightly increased rate of posterior capsule rupture.

Financial Disclosure:

None