PEDIATRIC CATARACT MANAGEMENT WITH VARIATIONS IN SURGICAL TECHNIQUE AND APHAKIC OPTICAL CORRECTION

Citation
Jr. Ainsworth et al., PEDIATRIC CATARACT MANAGEMENT WITH VARIATIONS IN SURGICAL TECHNIQUE AND APHAKIC OPTICAL CORRECTION, Ophthalmology, 104(7), 1997, pp. 1096-1101
Citations number
35
Categorie Soggetti
Ophthalmology
Journal title
ISSN journal
01616420
Volume
104
Issue
7
Year of publication
1997
Pages
1096 - 1101
Database
ISI
SICI code
0161-6420(1997)104:7<1096:PCMWVI>2.0.ZU;2-Y
Abstract
Purpose: The purpose of the study was to compare the results of three techniques of cataract surgery in children, Two methods included intra ocular lens (IOL) implantation and one used contact lens correction of aphakia. Design: Nonrandomized clinical trial. Participants: Seventy- seven eyes of 50 children between the ages of 2 1/2 and 16 years who h ad cataract surgery for the treatment of uncomplicated cataract.Interv ention: Thirty-one eyes underwent a ''conventional'' style of implanta tion, and a ''phaco-style'' of surgery was used in 24 eyes. A contact lens was used as the primary means of aphakic correction in 22 eyes. M ain Outcome Measures: The visual results and complications of each typ e of surgery were compared. Results: Corrected visual acuities did not differ significantly between the three groups 6 months after surgery, The incidence and type of complications were significantly different, Better lens centration, less long-term iris changes, or wound-related problems were observed with ''phaco-style'' modification of the techn ique of IOL insertion, Conclusions: Pediatric IOL insertion eliminated the need for contact lens wear and did not lead to a significantly di fferent corrected visual acuity 6 months after surgery compared with l ensectomy with contact lens correction, Adoption of some of the techni ques of modern small-incision cataract surgery for pediatric IOL proce dures produces a significant reduction in postoperative anterior segme nt complications compared with a standard limbal approach. Such modifi cations allow pediatric IOL insertion to be a safe alternative for the correction of pediatric aphakia.