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Indian J Ophthalmol ; 2012 Mar; 60(2): 144-147
Article Dans Anglais | IMSEAR | ID: sea-138812

Résumé

Context: Pediatric cataract surgery is traditionally done with the aid of high-molecular-weight viscoelastics which are expensive. It needs to be determined if low-cost substitutes are just as successful. Aims: The study aims to determine the success rates for anterior and posterior capsulorrhexis and intraocular lens (IOL) implantation in the bag for pediatric cataract surgery performed with the aid of a low-molecular-weight viscoelastic. Settings and Design: Nonrandomized observational study. Materials and Methods: Children less than 6 years of age who underwent cataract surgery with IOL implantation in the period May 2008–May 2009 were included. The surgeries were done by pediatric ophthalmology fellows. A standard procedure of anterior capsulorrhexis, lens aspiration with primary posterior capsulorrhexis, anterior vitrectomy, and IOL implantation was followed. Three parameters were studied: successful completion of anterior and posterior capsulorrhexis and IOL implantation in the bag. Results: 33 eyes of 28 children were studied. The success rate for completion was 66.7% and 88.2 % for anterior and posterior capsulorrhexis, respectively. IOL implantation in the bag was successful in 87.9%. Conclusions: 2% hydroxypropylmethylcellulose is a viable low-cost alternative to more expensive options similar to high-molecular-weight viscoelastics. This is of great relevance to hospitals in developing countries.


Sujets)
Capsulorhexis/économie , Capsulorhexis/instrumentation , Capsulorhexis/méthodes , Cataracte , Enfant , Enfant d'âge préscolaire , Économies , Bourses d'études et bourses universitaires/statistiques et données numériques , Humains , Nourrisson , Pose d'implant intraoculaire , Méthylcellulose/analogues et dérivés , Méthylcellulose/économie , Méthylcellulose/usage thérapeutique , Ophtalmologie/enseignement et éducation , Ophtalmologie/statistiques et données numériques , Substances viscoélastiques/économie , Substances viscoélastiques/usage thérapeutique
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