scholarly journals Congenital Cataract Surgery: A Retrospective Analysis of 62 Patients in a Developing Country

2021 ◽  
Vol 2021 ◽  
pp. 1-5
Author(s):  
Raed Shatnawi ◽  
Motasem Al-Latayfeh ◽  
Mohammad Abu-Ain
Keyword(s):  
Cataract Surgery ◽  
Developing Country ◽  
Congenital Cataract ◽  
Total Sample ◽  
Intraocular Lenses ◽  
Rare Occurrence ◽  
Visual Axis ◽  
Second Surgery ◽  
Corneal Diameter ◽  
Congenital Cataract Surgery

Purpose. This study was aimed at describing our experience in congenital cataract surgery in a developing Country. Methods. A retrospective study was conducted in Amman, Jordan. The patients who were diagnosed with congenital cataract and underwent the surgery were included in the study. It was decided to use an intraocular lens if the corneal diameter was more than 10 millimeters. Results. The findings revealed that around 13 of the patients did not have any visual axis opacification, indicating that they were aphakic. Visual axis opacification was seen in 8 out of the total sample of participants. Eleven patients with obvious opacification of the visual axis were found to be pseudophakic after at least two procedures and were thus cleared. It was necessary to do a second surgery to rectify the visual axis opacification induced by pseudophakia, which was putting the patient’s ability to recuperate at danger. Three of them (or 12 percent) exhibited visual axis opacification, which is a rare occurrence. The intraocular lenses used in the remaining 24 patients were constructed of hydrophilic plastic. Conclusion. Patients are less prone to have visual axis opacification while implanted by hydrophobic intraocular lenses is something they should consider.

scholarly journals Congenital Cataract Surgery: Our Four Years’ Experience in Prince Hamza Hospital (Amman-Jordan)

2019 ◽  
Vol 11 (4) ◽  
pp. 85
Author(s):  
Raed Shatnawi ◽  
Mohammad Abu-Ain ◽  
Motasem Al-Latayfeh ◽  
Basel Baarah
Keyword(s):  
Cataract Surgery ◽  
Intraocular Lens ◽  
Lower Risk ◽  
Congenital Cataract ◽  
Intraocular Lenses ◽  
Visual Axis ◽  
Visual Rehabilitation ◽  
Corneal Diameter ◽  
Capsular Bag ◽  
Congenital Cataract Surgery

PURPOSE: The study has examined the problems encountered during management of cataract surgery during clinical practice within a developing country. METHODS: A retrospective study was conducted by recruiting patients with the diagnosis of congenital cataract operated between 2011 and 2014. Intraocular lens was implanted, when the corneal diameter was 10 mm or more, which approximately corresponded to the capsular bag diameter, regardless of the patients’ age. RESULTS: The results showed that 13 were aphakic and none of them developed visual axis opacification. Eleven out of the 49 pseudophakic patients needed 2 or more surgeries to clear visual axis opacification; whereas, 25 out of 49 pseudophakic patients received hydrophobic intraocular lens. However, 3 of them (12%) developed visual axis opacification. The remaining 24 patients received hydrophilic intraocular lens, where 8 of them (33%) developed visual axis opacification. There was increased incidence of visual axis opacification as a result of pseudophakia that required a second surgery, which delayed their visual rehabilitation. CONCLUSION: Hydrophobic intraocular lenses are better used because of their lower risk to induce visual axis opacification.

Clinical characteristics and treatment of secondary glaucoma, glaucoma suspects and ocular hypertension after congenital cataract surgery

2021 ◽  
pp. 112067212199135
Author(s):  
Katharina Eibenberger ◽  
Barbara Kiss ◽  
Ursula Schmidt-Erfurth ◽  
Eva Stifter
Keyword(s):  
Intraocular Pressure ◽  
Cataract Surgery ◽  
Ocular Hypertension ◽  
Congenital Cataract ◽  
Case Series ◽  
Secondary Glaucoma ◽  
Visual Axis ◽  
Retrospective Case ◽  
Pediatric Cataract ◽  
Congenital Cataract Surgery

Objective: To evaluate changes in intraocular pressure after congenital cataract surgery in a real-world setting. Methods: This retrospective case series included all children aged 0–2 years undergoing lens extraction due to congenital cataract. Development of an elevated intraocular pressure was divided into three groups: secG, suspG and OHT. Further, risk factors for IOP changes, the therapeutic approach and functional outcome were assessed during follow-up. Results: One hundred and sixty-one eyes of 110 patients aged 0–2 years were included, whereof 29 eyes of 17 children developed secondary glaucoma (secG; 11 eyes/8 patients), glaucoma suspect (suspG; three eyes/three patients) or ocular hypertension (OHT; 15 eyes/10 patients). No difference in surgrical procedure ( p = 0.62) was found, but age at cataract surgery differed significantly ( p = 0.048), with the secG group (1.74 ± 1.01 months) being the youngest (suspG: 3.93 ± 1.80 months; OHT group: 5.91 ± 5.36 months). Secondary surgical intervention was significantly higher in the secG (4.64 ± 3.41) followed by the suspG (2.00 ± 2.65) and OHT groups (0.40 ± 0.74; p < 0.001). Postoperative complications including nystagmus ( p = 0.81), strabismus ( p = 0.98) and amblyopia ( p = 0.73) showed no difference, in contrast to visual axis obscuration which was more common in the secG group ( p = 0.036). Conclusion: Initial lensectomy and anterior vitrectomy procedure together with or without IOL implantation seems to have no influence for the development of IOP changes after pediatric cataract surgery. However, children who developed secondary glaucoma had cataract surgery significantly earlier, within the first 2–3 months of life. Glaucoma surgery was required to achieve final IOP control in most eyes. The development of secondary glaucoma was also associated with a significant increase in surgical re-treatments.

Comparative analysis of visual outcomes of multifocal and monofocal intraocular lenses in congenital cataract surgery

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Luca Buzzonetti ◽  
Sergio Petroni ◽  
Carlo Maria De Sanctis ◽  
Paola Valente ◽  
Matteo Federici ◽  
...  
Keyword(s):  
Comparative Analysis ◽  
Cataract Surgery ◽  
Congenital Cataract ◽  
Intraocular Lenses ◽  
Visual Outcomes ◽  
Congenital Cataract Surgery

scholarly journals Management of Aphakia with Visual Axis Opacification after Congenital Cataract Surgery Based on UBM Image Features Analysis

2020 ◽  
Vol 2020 ◽  
pp. 1-7
Author(s):  
Wensi Chen ◽  
Shiping He ◽  
Daoman Xiang
Keyword(s):  
Cataract Surgery ◽  
Mixed Type ◽  
Congenital Cataract ◽  
Ultrasound Biomicroscopy ◽  
Image Features ◽  
Imaging Features ◽  
Visual Axis ◽  
Anterior Vitrectomy ◽  
Congenital Cataract Surgery

Objective. The purpose of this study was to study the imaging features of ultrasound biomicroscopy (UBM) in the aphakia with visual axis opacification (VAO) after congenital cataract surgery. Methods. From May 2015 to May 2018, aphakia patients with VAO who underwent congenital cataract surgery were examined by high-resolution bag/balloon UBM technique, and the results of UBM imaging were analyzed. According to UBM imaging features, different types of VAO were classified. Results. A total of 38 children (55 eyes) with VAO were included. 17 patients were bilateral, and 21 patients were unilateral. Patients with VAO were classified into 3 groups according to the UBM imaging features: membranous fibrosis VOA (17 cases, 28 eyes), cortical regeneration VOA (15 cases, 20 eyes), and mixed VOA (6 cases, 7 eyes). The patients in the membranous fibrosis group underwent Nd:YAG laser posterior capsulotomy, those in the cortical regeneration group underwent anterior vitrectomy, and those in the mixed type group underwent anterior vitrectomy with RF capsulotomy tip. After surgery, VAO were removed in all patients. During the follow-up period, in the membranous fibrotic VAO group, iris adhesion and pupillary occlusion were found in 2 eyes, and anterior vitrectomy combined with separation of iris adhesion was performed. In cortical regenerative and mixed type VAO groups, anterior vitrectomy was performed without opacity in the axial region. The total recurrence rate of VAO was 3.46%. Conclusion. After congenital cataract surgery, the UBM imaging features of aphakia with VAO are helpful to evaluate the condition of VAO before reoperation so as to choose the optimal surgical method to achieve better therapeutic effect.

scholarly journals The effect of retaining intact posterior capsule in congenital cataract surgery in children aged 4–8 years

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Jing Shang Zhang ◽  
Jin Da Wang ◽  
Mayinuer Yusufu ◽  
Kai Cao ◽  
Shan Shan Jin ◽  
...  
Keyword(s):  
Cataract Surgery ◽  
Nd:Yag Laser ◽  
Congenital Cataract ◽  
Posterior Capsule ◽  
Visual Axis ◽  
Lens Implantation ◽  
Group A ◽  
Group B ◽  
Congenital Cataract Surgery

Abstract Background The present study sought to observe the effect of retaining intact posterior capsule in congenital cataract surgery in children aged 4–8 years. Methods This is a retrospective case control study. Seventy-seven children (130 eyes) aged from 4 to 8 years who underwent cataract surgery were divided into two groups. In Group A, 50 eyes underwent phacoemulsification, intraocular lens implantation and posterior capsule capsulotomy combined with anterior vitrectomy. In Group B, 80 eyes underwent cataract phacoemulsification and intraocular lens implantation. The postoperative visual acuity and the rate of complications were compared. Results In all patients, cataract surgeries were performed evenly without intraoperative complications. The follow-up time ranged from 6 months to 42 months. No apparent visual axis opacity was detected in group A during the follow-up. By the last visit, apparent visual axis opacity was detected in 31 eyes (38.75%) in group B. Among them, 9 eyes (29.03%) with mild posterior capsule opacification (PCO) were treated with Nd:YAG laser, 3 eyes (9.68%) with thick proliferative membranes were treated with posterior capsule capsulotomy combined with anterior vitrectomy and proliferative membranes in 19 eyes (61.29%) were completely aspired and the posterior capsule was retained. During follow-up, only 2 (6.45%) eyes had PCO recurrence and were treated with Nd:YAG laser. The visual acuity was significantly higher than that before surgery in all patients. Conclusions For older children, the incidence of PCO will be low even if intact posterior capsule is retained. Either Nd:YAG laser or surgical treatment for PCO will be able to maintain good vision.

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