Posters

Simultaneous bilateral cataract surgery with IOL implantation in paediatric patients

Poster Details

First Author: D.Giannoulis GREECE

Co Author(s): E. Kostopoulou   A. Lioura   A. Artzouchaltzi   A. Mataftsi   N. Ziakas        

Abstract Details

Purpose:

To evaluate the safety and efficiency of simultaneous surgery and intraocular lens (IOL) implantation in pediatric patients with bilateral cataract.

Setting:

1st Department of Ophthalmology, Aristotle University, Thessaloniki, Greece

Methods:

Retrospective study including twenty bilateral pediatric cataract patients (40 eyes) that underwent cataract extraction and IOL implantation in both eyes in a single session, from 2004 to 2016. Patient age at surgery ranged from 3 months to 15 years (median 55 months). All operations were performed by a single surgeon and general anesthesia was administered to all cases.

Results:

Mean follow-up time was 50 months. There were no cases of endophthalmitis or anaesthesia related problems. Only 1 intraoperative complication occurred (dropped nucleus, 1eye with Marfan’s syndrome) among 40 eyes. Late postoperative complications include 2 eyes (5%) that developed glaucoma, 1 case of retinal detachment and 1 eye with pupillary membrane/posterior synechiae. Visual acuity (VA) was assessed in 32 eyes. Final best corrected VA was >20/40 for 25 eyes (78.1%), >20/200 and ≤20/40 for 6 eyes (18.8%) and no light perception (NLP) for 1 eye (3.1%).

Conclusions:

Low rates of intraoperative complications suggest that simultaneous cataract surgery and IOL implantation could be a safe and efficient option for the management of bilateral pediatric cataracts. It offers the advantage of a single anaesthesia and potentially aids amblyopia management.

Financial Disclosure:

None