Improvement of opsoclonus after congenital cataract surgery in an infant

2020 ◽  
Vol 62 (1) ◽  
pp. 108-109
Author(s):  
Hiroshi Yamaguchi ◽  
Naoya Morisada ◽  
Azusa Maruyama ◽  
Kenjiro Kosaki ◽  
Koji Nomura
Keyword(s):  
Cataract Surgery ◽  
Congenital Cataract ◽  
Congenital Cataract Surgery

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.

Rate of axial growth after congenital cataract surgery

2004 ◽  
Vol 138 (6) ◽  
pp. 915-924 ◽  
Author(s):  
Abhay R. Vasavada ◽  
Shetal M. Raj ◽  
Bharti Nihalani
Keyword(s):  
Cataract Surgery ◽  
Congenital Cataract ◽  
Axial Growth ◽  
Congenital Cataract Surgery
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