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
Artigo
em Inglês
| 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.
Texto completo:
DisponíveL
Índice:
LILACS (Américas)
Assunto principal:
Catarata
/
Extração de Catarata
/
Implante de Lente Intraocular
Tipo de estudo:
Estudo observacional
/
Estudo prognóstico
/
Fatores de risco
Limite:
Adolescente
/
Adulto
/
Idoso
/
Aged80
/
Criança
/
Criança, pré-escolar
/
Feminino
/
Humanos
/
Masculino
Idioma:
Inglês
Revista:
Clinics
Assunto da revista:
Medicina
Ano de publicação:
2019
Tipo de documento:
Artigo
País de afiliação:
Brasil
/
Espanha
Instituição/País de afiliação:
Sant Joan de Déu Hospital/ES
/
Universidade de Sao Paulo/BR
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