Long-term follow-up after paediatric cataract surgery

Session Details

Session Title: Presented Poster Session: Cataract - Paediatric

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

Paper Time: 10:10

Venue: Poster Village: Pod 1

First Author: : C.Azenha PORTUGAL

Co Author(s): :    N. Oliveira   C. Paiva   F. Rito   M. Quadrado   J. Neto Murta  

Abstract Details

Purpose:

The objective of this study was to evaluate the anatomical, functional results as well as complications in the surgical treatment of paediatric cataract of the last 20 years of our department.

Setting:

Department of Ophthalmology, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal. Faculty of Medicine, University of Coimbra, Coimbra, Portugal.

Methods:

Retrospective case-series. Children, who underwent cataract surgery until the age of 18 years, (January 1995 and March 2015) were evaluated. Clinical records were retrospectively reviewed for demographic, personal and family medical history, physical examination, pre, intra and post-operative data.

Results:

Three hundred and thirty-eight eyes (248 children) were studied. In 55,7% were bilaterally affected and 56.5% were male. Age at the time of the surgery was 62.6 ± 61.2 months. Fifty-eight per cent were congenital or developmental cataracts, 21.4% traumatic, 7.4% uveitic, 13.5% with other causes; primary intra ocular lens (IOL) implantation was performed in 67.8%, 80.6%, 33.3% and 17,8%, respectively. Different surgical techniques were used according to the age of the children and the etiology of the cataract. Correlation between surgical technique and visual results will be presented.

Conclusions:

Congenital and developmental cataracts were the most prevalent in our study. Different surgical techniques should be used according to the age of the children as well the etiology. Anterior vitrectomy is mandatory in traumatic and uveitis cataracts in children until 10 years of age.

Financial Interest:

NONE