Postoperative Outcomes of “Optic Capture” Technique of IOL Implantation In Pediatric Cataract Surgery

AIM: To compare the visual results and postoperative complications of polymethylmethacrylate (PMMA) and hydrophobic acrylic intraocular lenses (IOLs) in children who underwent cataract extraction with primary IOL implantation. METHODS: This retrospective study included 117 eyes of 63 children with bilateral pediatric cataract undergoing cataract surgery and primary IOL implantation. The patients were divided into two groups, Group I included 58 eyes of 30 patients with PMMA IOLs; Group II included 59 eyes of 33 patients with hydrophobic acrylic IOLs. The clinical features, refraction errors, best corrected visual acuity (BCVA) and surgical complications were compared between two groups. RESULTS: The mean age at the time of surgery was 5.8 (2-12)y and mean follow up period was 40.5 (6-196)mo. Postoperatively, BCVA was ≥0.5 in 80 eyes (68.4%) and this was comparable in two groups. Visual axis opacification was seen in 28 eyes (48.3%) in Group I and 16 eyes (27.1%) in Group II and this difference was statistically significant (P=0.018). Postoperative IOL dislocation and posterior synechia formation were also noted. When all postoperative complications were considered, there were significantly less complications in the acrylic IOL group than PMMA IOL group (P=0.020). CONCLUSION: Pediatric cataract surgery with primary IOL implantation is a safe procedure. Hydrophobic acrylic IOLs may lead to less postoperative complications compared to PMMA IOLs.

Download Full-text

Contrast sensitivity assessment in pediatric cataract surgery: Comparison of preoperative and early postoperative outcomes

Journal of Cataract & Refractive Surgery ◽

10.1016/j.jcrs.2014.02.041 ◽

2014 ◽

Vol 40 (11) ◽

pp. 1862-1867 ◽

Cited By ~ 1

Author(s):

Vaishali A. Vasavada ◽

Mamidipudi R. Praveen ◽

Abhay R. Vasavada ◽

Sajani K. Shah ◽

Rupal H. Trivedi

Keyword(s):

Cataract Surgery ◽

Contrast Sensitivity ◽

Postoperative Outcomes ◽

Pediatric Cataract ◽

Sensitivity Assessment ◽

Pediatric Cataract Surgery

Download Full-text

Challenges of Pediatric Cataract Surgery in a Case of Seasonal Hyperacute Panuveitis (SHAPU)

Case Reports in Ophthalmological Medicine ◽

10.1155/2021/5591859 ◽

2021 ◽

Vol 2021 ◽

pp. 1-4

Author(s):

Pratap Karki ◽

Ranju Kharel Sitaula ◽

Anadi Khatri ◽

Sagun Narayan Joshi ◽

Haramaya Gurung ◽

...

Keyword(s):

Cataract Surgery ◽

Medical Management ◽

Female Child ◽

Intraocular Inflammation ◽

Posterior Segment ◽

Pediatric Cataract ◽

Iol Implantation ◽

Anterior Vitrectomy ◽

Surgical Iridectomy ◽

Pediatric Cataract Surgery

A four-year-old female child diagnosed as a case of severe Seasonal Hyperacute Panuveitis (SHAPU) underwent lens-sparing core vitrectomy in her left eye with intravitreal antibiotic and steroid. Patient responded well to treatment and intraocular inflammation subsided. However, three months later, she developed vision impairing dense cataract which also made posterior segment assessment difficult. Lens aspiration with primary posterior capsulotomy and anterior vitrectomy with intraocular lens (IOL) implantation was performed. However, four weeks later, the patient developed occlusio pupillae with iris bombe. She did not respond to medical management so synechiolysis with surgical iridectomy was performed after which a normal depth anterior chamber was attained. Synechia and iris bombe were also relieved, and vision was regained.

Download Full-text

Postoperative outcomes of intraocular lens implantation in the bag versus posterior optic capture in pediatric cataract surgery

Journal of Cataract & Refractive Surgery ◽

10.1016/j.jcrs.2017.07.022 ◽

2017 ◽

Vol 43 (9) ◽

pp. 1177-1183 ◽

Cited By ~ 11

Author(s):

Abhay R. Vasavada ◽

Vaishali Vasavada ◽

Sajani K. Shah ◽

Rupal H. Trivedi ◽

Viraj A. Vasavada ◽

...

Keyword(s):

Cataract Surgery ◽

Intraocular Lens ◽

Postoperative Outcomes ◽

Intraocular Lens Implantation ◽

Pediatric Cataract ◽

Lens Implantation ◽

Pediatric Cataract Surgery

Download Full-text

Cataract surgery in children: Controversies and practices

Nepalese Journal of Ophthalmology ◽

10.3126/nepjoph.v4i1.5866 ◽

1970 ◽

Vol 4 (1) ◽

pp. 138-149

Author(s):

UD Shrestha

Keyword(s):

Surgical Technique ◽

Cataract Surgery ◽

Review Article ◽

Pediatric Cataract ◽

Iol Implantation ◽

Pediatric Cataract Surgery

Pediatric cataract is totally different from adult cataract. The objective of this review article is to describe the peculiarities of pediatric cataract and the controversies and practices in pediatric cataract surgery. The differences in the surgical technique are discussed in the article. There are lots of controversies regarding IOL implantation in children. The result of the review is that the pediatric cataract surgery should be performed in between 6-8 weeks of age. There is no contra-indication for IOL implantation. Surgeons can implant either polymethylmethacrylate (PMMA) or Acrysoft foldable IOL. DOI: http://dx.doi.org/10.3126/nepjoph.v4i1.5866 NEPJOPH 2012; 4(1): 138-149

Download Full-text

Refractive Outcome of Posterior Optic Capture versus Intrabagal Implantation of Intraocular Lenses in Pediatric Cataract Surgery

Journal of Advances in Medicine and Medical Research ◽

10.9734/jammr/2020/v32i1830655 ◽

2020 ◽

pp. 61-68

Author(s):

Hend Mohammed Elshershaby ◽

Waleed Abdelhady Allam ◽

Ahmed Fekry Elmaria ◽

Rabab Mohammed Elseht

Keyword(s):

Cataract Surgery ◽

Intraocular Lenses ◽

Refractive Outcome ◽

Pediatric Cataract ◽

Iol Implantation ◽

Significant Difference ◽

Group A ◽

Pediatric Cataract Surgery ◽

The Mean ◽

Group B

Purpose: To compare refractive outcome of posterior Optic Capture versus In-the-bag Implantation of Intraocular Lenses in Pediatric Cataract Surgery. Design: Prospective, randomized and comparative study. Methods: Forty eyes of 25 children (12 males and 13 females) were included in this study with unilateral or bilateral cataracts in the pediatric age during the period between October 2018 to July 2019. These children were diagnosed to have congenital or developmental cataracts. All children underwent cataract surgery and IOL implantation. In our study, all children were divided into two groups: group (A) included 22 eyes that underwent posterior capsulorhexis and anterior vitrectomy with IOL implantation entirely in the capsular bag and group (B) included 18 eyes that underwent posterior capsulorhexis and posterior optic capture of the IOL. Patient demographics, surgical intervention, presenting symptoms, postoperative refraction and follow up of refractive changes for 6 months were recorded. Results: Ten cases were unilateral and fifteen cases were bilateral. The mean age was 5.44 ±3.30 in group (A) while the mean age was 4.26±1.45 in group (B). At 1.5 month, the mean spherical error in group (A) was 2.85 ± 1.41 D with range from 1 to 6.5D, and the mean spherical error in group (B) was 2.50 ± 1.70 D with range from -0.75 to 3.75 D with no statistically significant difference in both groups. The mean cylindrical error in group (A) was -0.96 ± 1.87 D with range from -3.5 to 2.25D and the mean cylindrical error in group (B) was -1.38 ± 1.79 D with range from -3 to 2D with no statistically significant difference in both groups. At 6 months, the mean spherical error in group (A) was 0.73 ±1.89 D with range from -4.00 to 3.75D and the mean spherical error in group (B) was 0.00 ± 2.27 D with range from -3.50 to 2.7D with no statistically significant difference in both groups. The mean cylindrical error in group (A) was -1.21± 0.90 D with range from -2.75 to 1.25D and the mean cylindrical error in group (B) was -1.68 ±0.93 D with range from -3.00 to -0.75D with no statistically significant difference in both groups. Conclusion: There was no statistically significant difference between in-the-bag intraocular lens implantation and intraocular lens posterior optic capture in the term of post-operative refraction. Posterior optic capture helped in preventing posterior capsule opacification (PCO) postoperatively in all cases.

Download Full-text