scholarly journals Safety of Primary Intraocular Lens Insertion in Unilateral Childhood Traumatic Cataract

2008 ◽  
Vol 47 (172) ◽  
Author(s):  
Sandeep Kumar ◽  
A Panda ◽  
BP Bandu ◽  
H Das
Keyword(s):  
Intraocular Lens ◽  
Penetrating Trauma ◽  
Cataract Extraction ◽  
Posterior Capsular Opacification ◽  
Extracapsular Cataract Extraction ◽  
Traumatic Cataract ◽  
Posterior Capsulotomy ◽  
Case Selection ◽  
Extraction Lens

This study analyzes the results of cataract surgery with primary intraocular lens implantation inunilateral childhood traumatic cataract following penetrating trauma and its long term follow up.It is a hospital based study of 114 children (age 3-10 years) with unilateral traumatic cataract whounderwent extracapsular cataract extraction/ lens aspiration with implantation of posterior chamberintraocular lens (IOL). Primary posterior capsulotomy (PPC) was performed in 57 eyes and the rest57 were without PPC (NPPC). The patients were followed up at regular intervals for a period of 3years.Postoperative inflammation and pupillary capture were two frequent complications seen duringpostoperative period. Development of posterior capsular opacification (PCO) was 1/57, 4/57 at 8thweek and 7/30 and 14/39 at 6 months, in PPC and NPPC group, respectively. Best corrected visualacuity (BCVA) ≥ 6/18 was achieved in 50% of eyes at 8th week post operatively and the same at 3years with/without membranectomy/capsulotomy was evident in 73.3% of eyes.Meticulous case selection with insersion of “in the bag IOL” and subjecting the traumatizedcataractous eyes to primary posterior capsulotomy are factors responsible for optimal outcome inunilateral traumatic cataract in children.Key words: childhood, intraocular lens, Nepal, traumatic cataract

scholarly journals Posterior capsular calcification without opacification of intraocular lens

2016 ◽  
Vol 8 (1) ◽  
pp. 91-94
Author(s):  
Rajesh S Joshi
Keyword(s):  
Visual Acuity ◽  
Intraocular Lens ◽  
Posterior Capsule ◽  
Posterior Capsular Opacification ◽  
Slit Lamp ◽  
Peripheral Part ◽  
Postoperative Visual Acuity ◽  
The Third ◽  
Early Occurrence

Background: Posterior capsular clarity is important for long-term visual gain. Postoperative visual acuity could be reduced due to posterior capsular or intraocular lens opacification, which occur months or years after cataract surgery. We report early occurrence of posterior capsular calcification without opacification of intraocular lens. Case: We report the case of a 78-year-old male who had undergone phacoemulsification with implantation of hydrophilic intraocular lens (IOL) in the left eye for cataract. The patient was non-diabetic, and the surgical procedure was uneventful. On the third postoperative day, fine granular deposits were found on the mid-peripheral part of the posterior capsule. No deposits were found on IOL. The patient presented with diminished vision four months after surgery. Slit-lamp examination revealed distinct areas of calcification with an early opacification of the posterior capsule and no IOL calcification. Neodymium doped: YAG capsulotomy was done to clear posterior capsular opacification, and the patient regained visual acuity of 20/20. To the best of our knowledge, this report is the first to investigate posterior capsular calcification without opacification of IOL in a patient without any known etiological factors. Conclusion: This case is reported to stimulate future study on the use of BSS plus and the development of posterior capsular or IOL calcification. Nepal J Ophthalmol 2016; 8(15): 91-94

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