scholarly journals Outcome of Pediatric Cataract Surgeries in a Tertiary Center in Switzerland

2018 ◽  
Vol 2018 ◽  
pp. 1-10 ◽  
Author(s):  
Sarah Claudia Ambroz ◽  
Marc Töteberg-Harms ◽  
James V. M. Hanson ◽  
Jens Funk ◽  
Daniel Barthelmes ◽  
...  
Keyword(s):  
Cataract Surgery ◽  
Anterior Segment ◽  
Retrospective Chart Review ◽  
Visual Outcome ◽  
Posterior Capsular Opacification ◽  
Pediatric Cataract ◽  
Tertiary Center ◽  
Significant Difference ◽  
Aphakic Glaucoma ◽  
Pediatric Cataract Surgery

Purpose. To determine and to analyze the outcome of pediatric cataract surgery. Methods. A retrospective chart review of individuals aged up to 10 years who underwent cataract surgery between January 1, 2004, and December 31, 2014, at the UniversityHospital Zurich, Switzerland. Results. 63 children (94 affected eyes) with bilateral (68/94) or unilateral (26/94) cataract were identified. Surgery was performed at a median age of 1.5 months (IQR: 1.3–2.6 months) for the aphakic group (45/94) and of 50.7 months (IQR: 38.0–78.4 months) for the IOL group (49/94). At the last follow-up visit (median 31.1 months, IQR: 18.4–50.2 months), visual acuity was better in bilateral than in unilateral cataract cases. Posterior capsular opacification (PCO) was diagnosed in 30.9% of eyes without a significant difference in the IOL and aphakic groups (p=0.12). Aphakic glaucoma was diagnosed in 12/45 eyes at a median of 6.8 months (IQR 2.1–13.3 months) after surgery. Microcornea (5/12) and anterior segment anomalies (8/12) were associated with glaucoma development (p<0.05). Conclusion. Laterality and timing of surgery influence the outcome of pediatric cataract surgery. PCO was the most frequent postoperative complication. Aphakic glaucoma is often associated with ocular developmental abnormalities and a poor visual outcome.

Clinical Profile and Visual Outcome of Pediatric Cataract Surgeries in West Malaysia

2020 ◽  
Vol 26 (2) ◽  
pp. 27-34
Author(s):  
Xiao Wei Ting ◽  
Wee Min Teh ◽  
Chin Sern Chan ◽  
Nor Fadzillah Abdul Jalil ◽  
Julieana Muhammed
Keyword(s):  
Cataract Surgery ◽  
Visual Outcome ◽  
Clinical Profile ◽  
Posterior Capsular Opacification ◽  
Posterior Chamber ◽  
Pediatric Cataract ◽  
Iol Implantation ◽  
Secondary Iol Implantation ◽  
Paediatric Patients ◽  
Significant Difference

Purpose: We aim to describe the clinical profile and visual outcome of paediatric patients who underwent cataract surgery in a tertiary ophthalmology referral centre in West Malaysia from 2013 to 2018. Methods: This is a retrospective review of all paediatric patients who underwent cataract surgery in our centre from 2013-2018. Results: A total of 35 eyes from 23 patients were included. There were 10 (43.5%) female and 13 (56.5%) male patients. Twelve patients (24 eyes) had bilateral cataract while 11 patients had unilateral cataract. Sixteen (45.7%) eyes had congenital cataract, followed by ectopia lentis (n=10, 28.6%), traumatic cataract (n=8, 22.9%) and steroid induced cataract (n=1, 2.8%). Three types of intraocular lens (IOL) were implanted: which were posterior chamber IOL (n=22, 62.9%), iris claw IOL (n=12, 34.3%) and scleral-fixated IOL (n=1, 2.8%). Majority of eyes (n=28, 80%) had primary IOL implantation. Twenty-five (71.4%) eyes achieved best corrected visual acuity (BCVA) of 6/12 and better at 6 months post-IOL implantation. There was no statistically significant difference in the BCVA at 6 months post-IOL implantation among the different cataract aetiology, primary or secondary IOL implantation and types of IOL implant. Eight (22.9%) eyes developed post-operative complications, which included posterior capsular opacification (PCO) (n=6, 17.1%), IOL decentration (n=4, 11.4%) and glaucoma (n=1, 2.8%). Nineteen (82.6%) patients required glasses for visual rehabilitation. Conclusion: Majority of the paediatric cataract patients achieved BCVA of 6/12 or better at 6 months post-IOL implantation. The visual outcome among the different cataract aetiology, primary or secondary IOL implantation and types of IOL implanted were similar. PCO was the most common post-operative complication.

Changes of anthropometric parameters of an eye during the implantation of toric intraocular lenses in children with congenital cataracts.

2021 ◽  
pp. 101-104
Author(s):  
A.I. Shilov ◽  
◽  
K.K. Shefer ◽  
Keyword(s):  
Visual Acuity ◽  
Cataract Surgery ◽  
Intraocular Lenses ◽  
Pediatric Cataract ◽  
Congenital Cataracts ◽  
Positive Effects ◽  
Postoperative Astigmatism ◽  
Toric Iols ◽  
Significant Difference ◽  
Pediatric Cataract Surgery

Aim. The aim of the study is to examine changes in the anthropometric and refractive parameters of the eyeball in children with congenital cataracts who have been implanted with various types of IOLs (toric or classic monofocal). Materials and methods. In this work, we retrospectively studied the medical history of 34 children (42 eyes) aged 4 to 15 years, who underwent phacoemulsification of congenital cataracts with implantation of various types of IOLs: toric and simple monofocal. Further, in these groups, by statistical methods, the dynamics of refraction in the first three years after the operation, the incidence of postoperative astigmatism, and its dynamics were assessed. We also assessed the rate of change in the anteroposterior axis of the eyeball, the dynamics of refraction in terms of the total spheroequivalent and maximum visual acuity in 3 years after the operation. Results. According to the results of the study, it was shown that toric IOLs significantly better stimulate the process of emmetropization of the eyeball, and also have a significant tendency to completely eliminate postoperative astigmatism, within 3 years after surgery. However, there were no significant differences in maximally corrected visual acuity between the 2 compared groups. There were also no data showing a significant difference in the more frequent development of myopia in the group receiving the toric IOL. Conclusion. The correct choice and calculation of the IOL remains one of the most difficult tasks in pediatric cataract surgery. New technologies are introduced annually and require constant testing. In this study, we have shown the possibility of using toric IOLs and their positive effects in pediatric cataract surgery and in the prevention and treatment of obscuration amblyopia. Key words: pediatric cataract, intraocular lenses, myopia, refraction, phacoemulsification, amblyopia.

Toxic anterior segment syndrome subsequent to pediatric cataract surgery

2011 ◽  
Vol 31 (1) ◽  
pp. 53-57 ◽  
Author(s):  
Şeyhmus Ari ◽  
İhsan Caca ◽  
Alparslan Sahin ◽  
Abdullah Kürşat Cingü
Keyword(s):  
Cataract Surgery ◽  
Anterior Segment ◽  
Pediatric Cataract ◽  
Pediatric Cataract Surgery ◽  
Toxic Anterior Segment Syndrome

scholarly journals Should Posterior Vitrectomy be Made a Priority in Ophthalmic Facilities of Sub Sahara Africa?

2013 ◽  
Vol 7 (1) ◽  
pp. 1-3 ◽  
Author(s):  
Oluleye Tunji Sunday
Keyword(s):  
Visual Acuity ◽  
Cataract Surgery ◽  
Vitreous Hemorrhage ◽  
Visual Outcome ◽  
Pediatric Cataract ◽  
College Hospital ◽  
Vitreous Opacities ◽  
Pediatric Cataract Surgery ◽  
A Priority ◽  
The University

Background: Posterior vitrectomy facilities are lacking in Sub Sahara Africa due to paucity of trained personnel in vitreo retinal subspecialty. More cases are seen needing vitrectomy, especially cases with vitreous opacities and complications of cataract surgery as more residents are being trained. The review will aim to determine whether vitrectomy facility should be a priority as part of ophthalmic facility in the region. Method: A 3 year review was carried out. All cases of posterior vitrectomy performed at the retinal unit of the University College Hospital, Ibadan, Africa between 2008 and 20011 were retrieved. Indications, and visual outcome were documented. Proportions and percentages were used to analyse the data. Results: Sixty six posterior vitrectomies were performed during the period. The most common indication for vitrectomy was vitreous hemorrhage n=30 [45.5%].Complication of cataract surgery such as dropped intraocular lens 7 [10.7%], sclera fixated intra ocular lens 6 [9.2%], and dropped nucleus 5 [7.5%] were emerging indications. Other indications noted include complicated retinal detachments 4 (6.1%), membranectomy for posterior capsule opacity from pediatric cataract surgery 3 (4.5%) and congenital lens subluxation 2 (3.0%). Improved visual outcome was noted after surgery. Forty nine [75%] eyes were blind [visual acuity of < 3/60] before vitrectomy. This proportion dropped to 24 [37%] after vitrectomy with an additional 24% regaining navigational vision [visual acuity of 3/60 to Counting fingers at 1meter] . Conclusion: Vitrectomy should be an integral part of eye care and its availability should be made a priority in ophthalmic facilities of Sub Sahara Africa, especially those involved in ophthalmology training.

scholarly journals Analysis of visual outcome of Neodymium: Yttrium-Aluminum -Garnet (Nd: YAG) laser capsulotomy in patients with Posterior Capsule Opacification

2020 ◽  
Vol 5 (8) ◽  
pp. 216-223
Author(s):  
Dr. Deepa R. ◽  
◽  
Dr. V. Panimalar A. Veeramani ◽  
Keyword(s):  
Visual Acuity ◽  
Cataract Surgery ◽  
Yttrium Aluminum Garnet ◽  
Visual Outcome ◽  
Posterior Capsular Opacification ◽  
P Value ◽  
Yag Laser ◽  
Significant Difference ◽  
Yttrium Aluminum ◽  
Neodymium Yttrium

Objective: Posterior capsular opacification (PCO) is a postoperative complication causing decreasedvisual acuity. This study aims to study the efficacy of Nd: YAG laser capsulotomy in posteriorcapsular opacification following cataract surgery by analyzing the visual outcome. Material andMethods: A prospective study included a sample size of 50 eyes of 37 patients with Posteriorcapsular opacification following uneventful cataract surgery with significantly decreased visual acuity.Detailed anterior and posterior segment examination was done, best-corrected visual acuity (BCVA)was recorded along with measurement of IOP. Posterior capsulotomy was performed using Nd: YAGlaser (Neodymium: Yttrium-aluminum–garnet) and patients were followed up. Visual acuity wasassessed and complications if any were recorded. Results: It was noted that 74% of the patients atthe end of 1st week and 78% of the patients at the end of 1st and 3rd month had significant visualimprovement following Nd: YAG laser capsulotomy. There was a statistically significant difference inPost Nd: YAG laser BCVA on follow up with P-value <0.001. Complications encountered were the risein IOP in 6% of the population at the end of 1 hour and 1st day of the procedure, iris bleeding wasnoted in 4% of the population, intraocular lens damage in 2 %, and cystoid macular edema in 2 %of the study population.

scholarly journals Pre- and Post-Operative Intraocular Pressure of Pediatric Cataract Surgery

2022 ◽  
Vol 13 (1) ◽  
pp. 22
Author(s):  
Reyhana Khansa Mawardi ◽  
Dicky Hermawan ◽  
Kristanti Wanito Wigati ◽  
Rozalina Loebis
Keyword(s):  
Intraocular Pressure ◽  
Cataract Surgery ◽  
General Hospital ◽  
Secondary Data ◽  
Pediatric Cataract ◽  
Cross Sectional ◽  
Department Of Ophthalmology ◽  
Significant Difference ◽  
Pediatric Cataract Surgery ◽  
The Mean

Introduction: Cataract is an eye lens opacification which prevents clear vision. It is the leading cause of blindness and vision impairment worldwide, including Indonesia. It can also be occurred in children that leads to a major cause of childhood blindness. The prevalence of childhood cataract ranges from 3 to 6 per 10,000 children. The main treatment for cataract is surgery, although pediatric cataract surgery has several complications. One of the most severe complication is glaucoma due to increased intraocular pressure (IOP). This study aimed to determine pre- and post-operative IOP in pediatric cataract surgery.Methods: This was a cross-sectional observational analytic study. Secondary data were collected from medical records of Department of Ophthalmology, Dr. Soetomo General Hospital Surabaya from January 2017 to August 2019. Age, gender, pre- and post-operative IOP, and intraocular lens implantation data were taken. Calculation was performed using the Saphiro-Wilk for data less than 50 samples. The Saphiro-Wilk test results showed that the data were normally distributed (p = 0.628). Data processing were then performed using the parametric t-pair test with a confidence level ofResults: 32 eye samples were obtained from 16 pediatric cataract surgery patients. The mean of pre-operative IOP was 13.05 mmHg and the mean of post-operative IOP was 13.36 mmHg. There was an increase in post-operative IOP with an average increase of 0.31 mmHg. There was no significant difference between pre- and post-operative IOP of pediatric cataract surgery patients (p = 0.711).Conclusion: There was no difference between pre- and post-operative IOP of pediatric cataract surgery patients at Dr. Soetomo General Hospital Surabaya for the period of January 2017 - August 2019.

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