Posterior approach vs anterior approach in management of congenital cataract in Egyptian infants

Session Details

Session Title: Paediatric Cataract Surgery

Session Date/Time: Sunday 15/09/2019 | 16:30-18:00

Paper Time: 17:18

Venue: Free Paper Forum: Podium 2

First Author: : A.Ellayeh EGYPT

Co Author(s): :    S. Gawad   E. Awad   S. Saleh                       

Abstract Details

Purpose:

to compare the 23-gauge vitrectomy system via pars plana approach to the limbal approach for the management of congenital cataract in Egyptian infants attended Mansoura ophthalmic center (MOC), Delta, Egypt.

Setting:

prospective interventional comparative study

Methods:

30 eyes of twenty one infants attended MOC, Egypt with congenital cataract. They were sorted out into two groups each included 15 eyes. Group I underwent pars plana approach and group II underwent anterior limbal approach for phaco-aspiration, posterior capsulorhexis and anterior vitrectomy. Postoperative examination and follow up results were recorded.

Results:

There was significant statistical increase in mean duration of surgery in group I (59.27 ± 12.69) than group II (39.93 ± 9.04) .There was no significant statistical difference in intraocular pressure values at preoperative period,and during the follow up in the studied groups .There was no significant statistical difference in the incidence of VAO, secondary glaucoma, anterior chamber reaction, capsular phimosis and wound leak between the two groups. However, there was a significant statistical increase in the incidence of pre-retinal hemorrhage in group I (26.7%, n=4) when compared to group II (0%, n=0) with P value of 0.032.

Conclusions:

posterior approach and anterior approach can be used safely for infantile cataract and the application of the technique depends on surgeon experience and skills.

Financial Disclosure:

None