Comparison of different surgical approaches for pediatric cataracts: complications and rates of additional surgery during long-term follow-up
Clinics
;
74: e966, 2019. tab, graf
Article
in English
| LILACS
| ID: biblio-1011924
ABSTRACT
OBJECTIVES:
To compare long-term postoperative complications of pediatric cataract surgery with primary intraocular lens (IOL) implantation associated with posterior capsulotomy (PC) and anterior vitrectomy (AV) between patients treated with a corneal or pars plicata/pars plana approach.METHODS:
Children who underwent cataract surgery with in-the-bag primary IOL implantation were divided into two groups according to PC and AV surgicalapproach:
a corneal approach (group 1) and a pars plicata/pars plana approach (group 2). Only patients with a follow-up duration of more than two years were included. Long-term surgical outcomes were retrospectively reported.RESULTS:
The mean follow-up period was 10.00±3.13 years. No cases of glaucoma or retinal detachment were reported. The mean age at surgery was 34.57±22.66 months. Forty-six children were included (27 eyes in group 1 and 29 eyes in group 2). The most frequent postoperative complication was corectopia, followed by visual axis opacification. Both complications occurred more frequently in group 1 (p<0.001). After cataract surgery, the rate of additional surgeries in group 1 was 51.9%, while in group 2, the rate was 27.6% (p=0.1132).CONCLUSION:
The pars plicata/pars plana approach with PC and vitrectomy with primary in-the-bag IOL implantation for pediatric cataracts is a safe procedure.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Cataract
/
Cataract Extraction
/
Lens Implantation, Intraocular
Type of study:
Observational study
/
Prognostic study
/
Risk factors
Limits:
Adolescent
/
Adult
/
Aged
/
Aged80
/
Child
/
Child, preschool
/
Female
/
Humans
/
Male
Language:
English
Journal:
Clinics
Journal subject:
Medicine
Year:
2019
Type:
Article
Affiliation country:
Brazil
/
Spain
Institution/Affiliation country:
Sant Joan de Déu Hospital/ES
/
Universidade de Sao Paulo/BR
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