Posters

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

Poster Details

First Author: A.Sari TURKEY

Co Author(s):    O. Dursun   M. Vatansever   E. Dinc              

Abstract Details

Purpose:

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

Setting:

Mersin University Medical School, Department of Ophthalmology

Methods:

Thirty three children older than 2 years old who had bilateral cataract extraction with primary intraocular lens implantation (IOL) in the same session 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 the 33 patients at the time of surgery was 72±37.7 (24-158) months. Mean follow-up period was 68.07±38.76 months (12 months-12 years).Posterior capsule was left intact in 16 eyes of 8 patients and the mean age of them was 11 years at the time of surgery. Final visual acuity was 0.3logmar or better in all patients. Most frequently encountered post-operative complications were posterior capsular opacification, pupillary irregularities,fibrinous reaction and pupillary membrane.

Conclusions:

In bilateral 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 Disclosure:

None