AI Article Synopsis
- The study aimed to compare the visual outcomes and complications between two surgical approaches for treating pediatric cataracts in older children.
- Seventeen eyes from 12 children aged 10 to 15 were assigned to either a lensectomy with PCIOL implantation plus posterior capsulotomy and anterior vitrectomy, or without those additional procedures.
- Results showed no significant difference in visual acuity or complications between the two groups, suggesting that the more complex procedures may not be needed routinely in older pediatric cataract patients.
Article Abstract
Purpose: To compare the visual outcomes and complications of lensectomy and posterior chamber intraocular lens (PCIOL) implantation with or without posterior capsulotomy and anterior vitrectomy in older subjects with pediatric cataracts.
Methods: Seventeen eyes of 12 children aged 10 to 15 years with congenital or developmental cataracts were randomly divided to two groups. Lensectomy and PCIOL (Alcon Acrysof MA60 AC) implantation was performed with (8 eyes) or without (9 eyes) posterior capsulotomy and anterior vitrectomy.
Results: Mean age at the time of surgery was 12.3±1.5 (range 10-15) years and mean follow-up period was 18.7±11.2 (range 6-36) months. Posterior capsule opacification developed in three eyes in the non-vitrectomy group; however, media opacification was mild and capsulotomy was not required in any case. All eyes in the vitrectomy group had a clear visual axis at final follow-up (P=0.2). No significant difference was observed between the two groups in term of visual acuity (P=0.3) or complications.
Conclusion: Although posterior capsulotomy and anterior vitrectomy seems to be safe in pediatric cataract surgery, it may not be necessary as a routine procedure in older children.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3589215 | PMC |
Publication Analysis
Top Keywords
Similar Publications
Surgical implications in intraocular lens exchange with an open posterior capsule: a retrospective case series and review of the literature.
J Cataract Refract Surg
December 2024
Department of Ophthalmology, Goethe-University, Frankfurt, Germany.
Purpose: To determine characteristics and differences in intraocular lens (IOL) exchange between eyes with an open (OPC) and closed posterior capsule (CPC).
Setting: Department of Ophthalmology, Goethe-University, Frankfurt, Germany.
Design: Retrospective case series and review of literature.
Effect of Acetabular Labral Tear Orientation on Hip Joint Kinematics: A Comparison of Radial Tears, Chondrolabral Junction Tears and Complex Tears in Cadaveric Hips.
Orthop J Sports Med
November 2024
Department of Orthopaedic Surgery, Stanford University, Stanford, California, USA.
Background: Acetabular labral tear morphology or orientation may influence hip stability.
Hypothesis: A radial tear of the acetabular labrum would result in greater rotational and translational motion compared with a chondrolabral separation.
Study Design: Controlled laboratory study.
How Safe is Nd: YAG Laser Capsulotomy in Patients with Uveitis? Outcomes of a Long-Term Study.
J Curr Ophthalmol
October 2024
Department of Ophthalmology, GS Medical College and Hospital, Pilkhuwa, Uttar Pradesh, India.
Purpose: To study the outcomes and complications of Nd: YAG laser capsulotomy in patients with uveitis.
Methods: This study retrospectively evaluated outcomes of Nd: YAG laser capsulotomy in 260 eyes of 260 patients with uveitis. The main indications for performing capsulotomy were a visually significant posterior capsule opacification (PCO) and inability to visualize the posterior segment.
Background: Iridodialysis, the separation of the iris root from the ciliary body, typically results from trauma and can lead to significant visual impairment. This case report is novel as it demonstrates the successful management of iridodialysis using an extended depth of focus intraocular lens in a patient with a slightly irregular pupil.
Case Presentation: A 34-year-old Hispanic man presented with reduced vision and pain in his right eye following blunt trauma from a nail at work.
Evaluation of Intraocular Pressure, Refraction, Anterior Chamber Depth, Macular Thickness, and Specular Microscopy Post-Neodymium-Doped Yttrium-Aluminum-Garnet Laser in Patients With Posterior Capsular Opacification.
Cureus
October 2024
Ophthalmology, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Dr. D. Y. Patil Vidyapeeth (Deemed to be University), Pune, IND.
Background Cataract is the leading cause of blindness globally, particularly in India. Despite advancements in surgical techniques, postoperative complications remain common, with posterior capsular opacification (PCO) being the most frequent issue. Although neodymium-doped yttrium-aluminum-garnet (Nd:YAG) laser capsulotomy is recommended for managing PCO, it is associated with various side effects.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!