scholarly journals Angle Surgery in Pediatric Glaucoma Following Cataract Surgery

Vision ◽  
2021 ◽  
Vol 5 (1) ◽  
pp. 9
Author(s):  
Emery C. Jamerson ◽  
Omar Solyman ◽  
Magdi S. Yacoub ◽  
Mokhtar Mohamed Ibrahim Abushanab ◽  
Abdelrahman M. Elhusseiny
Keyword(s):  
Cataract Surgery ◽  
Surgical Techniques ◽  
First Line ◽  
Pediatric Cataract ◽  
Surgical Interventions ◽  
Pediatric Glaucoma ◽  
Initial Procedure ◽  
Pediatric Cataract Surgery ◽  
Study Designs

Glaucoma is a common and sight-threatening complication of pediatric cataract surgery Reported incidence varies due to variability in study designs and length of follow-up. Consistent and replicable risk factors for developing glaucoma following cataract surgery (GFCS) are early age at the time of surgery, microcornea, and additional surgical interventions. The exact mechanism for GFCS has yet to be completely elucidated. While medical therapy is the first line for treatment of GFCS, many eyes require surgical intervention, with various surgical modalities each posing a unique host of risks and benefits. Angle surgical techniques include goniotomy and trabeculotomy, with trabeculotomy demonstrating increased success over goniotomy as an initial procedure in pediatric eyes with GFCS given the success demonstrated throughout the literature in reducing IOP and number of IOP-lowering medications required post-operatively. The advent of microcatheter facilitated circumferential trabeculotomies lead to increased success compared to traditional <180° rigid probe trabeculotomy in GFCS. The advent of two-site rigid-probe trabeculotomy indicated that similar results could be attained without the use of the more expensive microcatheter system. Further studies of larger scale, with increased follow-up, and utilizing randomization would be beneficial in determining optimum surgical management of pediatric GFCS.

Long-term Follow-up of the Corneal Endothelium After Pediatric Cataract Surgery

Cornea ◽  
2012 ◽  
Vol 31 (5) ◽  
pp. 529-532 ◽  
Author(s):  
Rami Borghol Kassar ◽  
José Luis Menezo Rozalén ◽  
Miguel Ángel Harto Castaño ◽  
Mari Carmen Desco Esteban
Keyword(s):  
Cataract Surgery ◽  
Corneal Endothelium ◽  
Pediatric Cataract ◽  
Long Term Follow Up ◽  
Pediatric Cataract Surgery

Mobile femtosecond laser platform for pediatric cataract surgery

2017 ◽  
Vol 28 (2) ◽  
pp. 246-250 ◽  
Author(s):  
Simon S.M. Fung ◽  
John Brookes ◽  
Mark R. Wilkins ◽  
Gillian G.W. Adams
Keyword(s):  
Femtosecond Laser ◽  
Cataract Surgery ◽  
Intraoperative Complications ◽  
Cataract Extraction ◽  
Pediatric Cataract ◽  
Corrected Visual Acuity ◽  
Pediatric Cataract Surgery ◽  
Anterior Capsulotomy ◽  
Paediatric Cataract

Purpose: To describe the use of a mobile femtosecond laser platform in assisting paediatric cataract surgery. Methods: A mobile femtosecond laser was brought into the operating room and calibrated on the day of the surgery. After general anesthesia is induced, the femtosecond laser was docked onto the eyes with a liquid-filled interface, without any perioperative adaptations or additional surgical procedures. An anterior capsulotomy was created with the femtosecond laser, followed by conventional cataract extraction and intraocular lens implantation. Results: Five eyes of 3 children with congenital cataracts were treated with this technique. Docking and capsulorhexis were successful in all cases. No perioperative or intraoperative complications were noted in any of the cases. At median follow-up of 15 months (range 6-18 months), all patients had improved best-corrected visual acuity. Conclusions: Using the mobile femtosecond laser platform, a perfectly sized anterior capsulotomy could be created with high precision and accuracy in paediatric cataract cases, while ensuring that perioperative care for the children undergoing the procedure was not compromised.

scholarly journals Postoperative follow up Challenge in Paediatric Cataract Surgery in Nepal

2011 ◽  
Vol 31 (3) ◽  
pp. 198-201 ◽  
Author(s):  
UD Shrestha
Keyword(s):  
Cataract Surgery ◽  
Care Service ◽  
Pediatric Cataract ◽  
Main Challenge ◽  
Visual Status ◽  
Paediatric Age ◽  
Pediatric Cataract Surgery ◽  
Paediatric Ophthalmology ◽  
Paediatric Cataract

Introduction: Paediatric ophthalmology is a branch of specialty care for the health of the eyes of children. It focuses on the removal of paediatric cataracts and management of refractive error, strabismus etc. Perioperative and post-operative challenges related to paediatric cataract are known to all ophthalmologists worldwide. However, in a developing country like Nepal the main challenge of these patients are the post-operative follow up. The aim of the study is to find out the ways to reduce the post-operative follow up challenges in paediatric cataract surgery. Hence the ophthalmic assistants in the community eye centers need to be trained to examine the eyes of children. Materials and Methods: This was a retrospective study. A review of patient records, operated from July 2006 to December 2007, at Tilganga Institute of Ophthalmology was done. One hundred eyes of 69 patients were operated during the study period. Results: Follow-up assessment of visual acuity was available for 19 eyes only at the end of six weeks. Conclusion: At the end of six postoperative weeks, refractive status is important. This helps to prescribe the glasses to children as per need. If the post-operative visual status is not known, it is as equal as not performing the surgery. Ophthalmic assistants at community eye centers need to be trained to evaluate and record postoperative visual status of the paediatric age group. For this regular training and refreshers course on the pediatric eye care service is being conducted at the tertiary level for the ophthalmic assistants. This is more practical in the developing countries like Nepal. Key words: Cataract; Intraocular lens; Pediatric cataract surgery DOI: http://dx.doi.org/10.3126/jnps.v31i3.4062 J Nep Paedtr Soc 2011;31(3):198-201

scholarly journals Visual Axis Opacification in Children Following Paediatric Cataract Surgery

2014 ◽  
Vol 52 (196) ◽  
pp. 1024-1030 ◽  
Author(s):  
Ujjowala Devi Shrestha ◽  
Mohan Krishna Shrestha
Keyword(s):  
Cataract Surgery ◽  
Pediatric Patients ◽  
Influencing Factor ◽  
Surgical Techniques ◽  
Visual Development ◽  
Posterior Capsular Opacification ◽  
Visual Axis ◽  
Pediatric Cataract ◽  
Pediatric Cataract Surgery ◽  
Equipment Type

Visual axis opacification (VAO) occurs in up to 40% of pediatric patients after cataract surgery withintraocular lens implantation(IOL) even with a primary posterior capsulotomy (PPC). In both children and adult group, opacification does obscure the visual axis. However, in children after PPC, there is no capsule. Hence, the terminology VAO is used in children rather than posterior capsular opacification. This opacification is caused by a proliferation of epithelial cells on the posterior capsule or anterior vitreous face and can hinder the optical image quality needed for normal visual development. The rate of epithelial mitotic activity is higher in children compared to adult. It can be managed by Yag laser or surgical membranectomy, the latter is preferable. International and national published articles were systematically reviewed on aetio-pathogenesis, surgical techniques and equipment, type and material of IOL, and management of VAO in children operated for cataract. Author's experience was also included to write manuscript. VAO is frequent complication following cataract surgery in pediatric patients. Age of cataract patients, surgical technique and type and materials of IOL are most common influencing factor for VAO. Immediate management with advance equipment of VAO reduces the incidence for development of irreversible stimulation deprivation amblyopia.  Keywords: pediatric cataract; pediatric cataract surgery; visual axis opacification.

Subtle signs of an intact anterior vitreous face during pediatric cataract surgery

2012 ◽  
Vol 38 (9) ◽  
pp. 1690-1693
Author(s):  
Aditya A. Sudhalkar ◽  
Mamidipudi R. Praveen ◽  
Viraj A. Vasavada ◽  
Sajani K. Shah ◽  
Abhay R. Vasavada ◽  
...  
Keyword(s):  
Cataract Surgery ◽  
Pediatric Cataract ◽  
Pediatric Cataract Surgery
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