Posters

Cataract in congenital pupillary membrane cases

Poster Details

First Author: A.Ozmen TURKEY

Co Author(s):    S. Kivanc   O. Talay Ozmen                 

Abstract Details

Purpose:

Our aim was to determine the characteristics of the congenital pupillary membrane (CPM) cases and to compare the clinical and surgical outcomes of the patients who had been followed up and undergone surgery.

Setting:

Uludag University, Department of Ophthalmology

Methods:

Charts of the pediatric patients, who referred to Uludag University, School of Medicine, Department of Ophthalmology between January 2007 and May 2017, were reviewed. Twenty-Six Children with CPM were included in the study. Ocular and systemic findings, treatment modalities, complications were noted. Patients were divided 2 groups. First Group was the surgery group, who had undergone surgery for CPM was included in this group and the second group was observation group.Thirty-three eyes of the 26 pediatric patients were included in the study.Mean age of the patients at the time of diagnosis was 50.5±63.1 months. .

Results:

Surgery for CPM was performed in 13 eyes (Mean surgery age 44.7±54.1 months). Cataract was accompanying finding in 7 patients and one of them had also congenital glaucoma. Two of the patients that had cataract had undergone cataract surgery simultaneously with CPM surgery. Microphthalmia diagnosis in 3 eyes, Ectopic pupilla in 2, iridocorneal disgenesis in one. Mean follow up for all patients was 3.3±2.9 years. Initial visual acuities of the patients were 0.11±0.10 in Surgery Group and 0.46±0.32 in Observation Group (p=0,013 Mann-Whitney U test). Final visual acuities were 0.55±0.43 and 0.47±0.49 respectively (p=0.681).

Conclusions:

Ophthalmic examination is an important issue in patient with CPM. Various ocular anomalies and findings may accompany. Visual acuity may improve with appropriate surgery timing for CPM and cataract, in children, who were expected to have improved vision whose optical axis is closed. According to our knowledge, this study is the one of the largest CPM case series.

Financial Disclosure:

None