Long-term results of congenital cataract patients with primary intraocular lens implantation

Session Details

Session Title: Presented Poster Session: Cataract - Paediatric

Session Date/Time: Monday 07/09/2015 | 09:30-11:00

Paper Time: 09:50

Venue: Poster Village: Pod 1

First Author: : A.Sari TURKEY

Co Author(s): :    I. Goksel   S. Ertekin           

Abstract Details

Purpose:

To evaluate the long-term visual outcome and the surgical complications of the patients who had cataract extraction with primary intra ocular lens implantation.

Setting:

Mersin University Medical School, Department of Ophthalmology, Mersin-Turkey.

Methods:

Forty three children older than 2 years old who had cataract extraction with primary intra ocular lens implantation (IOL) in the same session between 2008 and 2012 and followed up more than 1 year were reviewed retrospectively. Lensectomy and IOL implantation was performed in all eyes, where primary posterior capsulotomy and anterior vitrectomy was performed on some. The patients were evaluated for the long-term visual outcome and the surgical complications after cataract surgery.

Results:

The mean age of 43 patients at the time of surgery was 83.6±52.4 (24-192) months.Nineteen were unilateral and 24 were bilateral.Mean follow-up period was 34.16 ±17.94 months (18 months-6 years).Posterior capsule was left intact in 25 eyes of 16 patients and the mean age of them was 9.56±2.56 years at the time of surgery.Posterior capsular opacification (PCO) occured in 11 of these children (44%).Nd:YAG laser posterior capsulotomy was performed in all eyes with PCO under topical anesthesia.Final visual acuity was 0.5 or better in 50.7%.Most frequently encountered postoperative complications were posterior capsular opacification,pupillary irregularities,fibrinous reaction and pupillary membrane.

Conclusions:

In congenital cataract patients undergoing primary IOL implantation,a good final visual prognosis depends on appropriate surgical technique, proper selection of IOL type and diopter, postoperative intense patient monitoring together with management of complications and amblyopia.

Financial Interest:

NONE