ABSTRACT
The authors presented long-term results of surgery of congenital, residual, traumatic and post-inflammatory cataracts. Lensectomy through pars plana was performed in all eyes. Examination after 12-year follow-up was performed in 186 eyes, i.e.-69.4% of the total number of 268 eyes which underwent surgery. The most frequent complication was glaucoma (33.3%), which passed without any symptoms and was diagnosed accidentally, in the majority of cases in the period over 3 years after surgery. Other complications were rare; They included retinal detachment in 0.5% of the eyes. Visual acuity was 5/50 and less in 52.7% of the eyes; only in 10% it was 5/10 and better. The conclusion is that all patients after cataract surgery should be examined for glaucoma.
Subject(s)
Cataract Extraction , Glaucoma/etiology , Postoperative Complications , Cataract/congenital , Cataract/etiology , Cataract Extraction/adverse effects , Child , Eye Infections/complications , Eye Injuries/complications , Follow-Up Studies , Humans , Retinal Detachment/etiology , Treatment Outcome , Visual AcuityABSTRACT
Long-term functional results of the eyes with unilateral, congenital cataract operated in the years 1981-1983 are presented. It was found that 88% of the eyes had visual acuity below 5/50. The authors discussed these poor results and considered that they are associated with the lack of effective treatment of amblyopia. On account of this, the authors in their Ophthalmological Department operated only selected cases with unilateral cataract, mostly for cosmetic reasons.
Subject(s)
Amblyopia/etiology , Cataract Extraction/adverse effects , Cataract/congenital , Amblyopia/therapy , Female , Humans , Infant , Infant, Newborn , Male , Treatment Outcome , Visual AcuityABSTRACT
Based on the data from literature, opinions concerning amblyopia after unilateral, congenital cataract surgery are presented. Problems of visual deprivation syndrome and possibilities of prevention and therapy of amblyopia in unilateral aphakia are discussed. The authors concluded that even the eyes operated very early, in newborns aged a few days, remained often amblyopic.
Subject(s)
Amblyopia/etiology , Cataract Extraction/adverse effects , Cataract/congenital , Amblyopia/prevention & control , Animals , Humans , Infant , Infant, NewbornABSTRACT
Presented are the results of vitrectomy in children operated in the Ophthalmological Department of Children Health Centre. The procedure was preformed in 110 eyes including 32 vitrectomies and 78 vitrectomies connected with lensectomy. Operated were eyes with chronical uveitis of various etiology, with posttraumatic changes, after vitreal haemorrhages in Eales' disease, in persistent vitreal artery cases. Improvement of the visual acuity was achieved in 68 cases (61.8 p.c.), deterioration was observed in 28 (25.5 p.c.); the visual acuity did not change in 14 cases (12.7 p.c.). Retinal detachment was the most frequent complication--38 cases (34.5 p.c.); from this number 10 cases (9 p.c.) improved after a repeated operation.
Subject(s)
Uveitis/surgery , Vitrectomy/methods , Vitreous Hemorrhage/surgery , Child , Eye Infections, Parasitic/complications , Eye Injuries/complications , Humans , Larva Migrans/complications , Postoperative Period , Toxoplasmosis, Ocular/complications , Uveitis/etiology , Uveitis/physiopathology , Visual Acuity/physiology , Vitreous Hemorrhage/etiology , Vitreous Hemorrhage/physiopathologySubject(s)
Larva Migrans, Visceral/therapy , Uveitis/therapy , Child , Child, Preschool , Female , Humans , Male , Uveitis/etiologySubject(s)
Cataract Extraction/adverse effects , Glaucoma/etiology , Adolescent , Cataract/congenital , Child , Child, Preschool , Humans , InfantSubject(s)
Cefamandole/therapeutic use , Premedication , Vitrectomy , Child , Chronic Disease , Humans , Uveitis/complicationsSubject(s)
Cataract Extraction , Eye Diseases/surgery , Uveitis/complications , Vitrectomy , Adolescent , Child , Child, Preschool , Humans , Time FactorsSubject(s)
Retinal Detachment/surgery , Adolescent , Child , Child, Preschool , Cryosurgery , Electrocoagulation , Evaluation Studies as Topic , Female , Humans , Infant , Laser Therapy , Male , Scleral BucklingSubject(s)
Cataract Extraction/methods , Lens, Crystalline/surgery , Adolescent , Cataract/congenital , Child , Child, Preschool , Ciliary Body/surgery , Female , Humans , Infant , Male , Vitrectomy/methodsSubject(s)
Eye Neoplasms/urine , Retinoblastoma/urine , Vanilmandelic Acid/urine , Child, Preschool , Circadian Rhythm , Female , Humans , Infant , MaleABSTRACT
Fluorescein angiography of the iris using filters that eliminated pseudofluorescence was performed. In 10 of 40 non-diabetic healthy eyes, a fine-grained leakage of dye occurred from capillaries of the pupillary margin (PML). In 87 of 94 diabetic eyes with or without retinopathy a PML was present. The vascular changes of the iris were compared with those of the retina as disclosed by fundus fluorescein angiography. In 14 of 18 eyes without retinopathy PML was observed. In 25 of 28 eyes with non-proliferative retinopathy there was a PML, 12 of those in addition showed extravasation to the iris stroma. All 48 eyes with proliferative retinopathy showed PML. In addition, 19 of these had extravasation to the iris stroma and 26 iris neovascularization. When iris neovascularization is present, larger fibrovascular proliferations are usually found in the vitreous space, often associated with recurrent vitreous haemorrhages or retinal detachment. Iris angiography yields valuable information on the vitreo-retinal diabetic sequelae and is useful for selection of such eyes for vitrectomy.
