|
|
Application of optic capture in microphthalmos congenital cataract surgery |
XIE Yingbin1, WANG Qi2, KAO Huating1, SONG Bin1, WANG Kang1 |
1 Department of Ophthalmology,Binzhou Medical University Hospital,Binzhou 256603,P.R.China;
2 Department of Ophthalmology,Shandong Provincial Hospital |
|
|
Abstract Objective To evaluate the outcomes of 3-piece hydrophobic acrylic IOL optic capture for children with microphthalmos and congenital cataract.Methods In this retrospective study,outcomes and complications of primary or secondary 3-piece hydrophobic acrylic IOL optic capture (11 eyes of 6 patients had primary IOL implantation and 11eyes of 7 patients with secondary IOL implantation) for children with microphthalmos and congenital cataract were analyzed.Results with mean follow-up period of (26.55± 11.03) months, all eyes maintained round pupils, and visual acuity improve to different degrees. Posterior capsule opacification (PCO) was detected in both eyes of a patient and partial posterior synechia detected in both eyes with secondary IOL implantation. There was no IOL dislocation, pupillary?capture or postoperative glaucoma observed.Conclusion IOL optic capture implantation could be a promising solution for children with microphthalmos and congenital cataract.With this procedure,the IOL could be implanted in microphthalmic eyes, with no regard to the size of the capsular bag and artificial crystal size. The occurrence of intraocular lens dislocation or papillary capture of the IOL was minimized.
|
Received: 10 September 2018
|
|
|
|
|
[1] Wu X,Long E,Lin H,et al.Prevalence and epidemiological characteristics of congenital cataract:a systematic review and meta-analysis[J].Sci Rep,2016, 6:28564.
[2] Yu Y S,Kim S J,Choung H K.Posterior chamber intraocular lens implantation in pediatric cataract with microcornea and/or microphthalmos[J].Korean J Ophthalmol,2006,20(3):151-155.
[3] Ventura M C,Sampaio V V,Ventura B V,et al.Congenital cataract surgery with intraocular lens implantation in microphthalmic eyes: visual outcomes and complications[J].Arq Bras Oftalmo,2013,76(4):240-243.
[4] Lemos J A,Rodrigues P,Resende R A,et al.Cataract surgery in patients with nanophthalmos:results and complications[J].Eur J Ophthalmo,2016,26(2):103-106.
[5] Praveen M R,Vasavada A R,Shah S K,et al.Long-term postoperative outcomes after bilateral congenital cataract surgery in eyes with microphthalmos[J].J Cataract Refract Surg,2015,41(9):1910-1918.
[6] Yuzbasioglu E,Artunay O,Agachan A,et al.Phacoemulsification in patients with nanophthalmos[J].Can J Ophthalmo,2009,44(5):534-539.
[7] Vasavada A R.Role of optic capture in congenital cataract and intraocular lens surgery in children[J].J Cataract Refract Surg, 2000,26(6):824-831.
[8] Gimbel H V,DeBroff B M.Intraocular lens optic capture[J].J Cataract Refract Surg,2004,30(1):200-206.
[9] Gimbel H V,DeBroff B M.Posterior capsulorhexis with optic capture:Maintaining a clear visual axis after pediatric cataract surgery[J].J Cataract Refract Surg,1994,20(11):658-664.
[10] Weiss A H,Kousseff B G,Ross E A,et al.Simple microphthalmos[J].Arch Ophthalmol,1989,107(11):1625-1630.
[11] Vasavada V A,Dixit N V,Ravat F A,et al.Intraoperative performance and postoperative outcomes of cataract surgery in infant eyes with microphthalmos[J].J Cataract Refract Surg,2009,35(3):519-528.
[12] Utman S A.Small eyes big problems:is cataract surgery the best option for the nanophthalmic eyes[J].J Coll Physicians Surg Pak,2013,23(9):653-656.
[13] Prasad S,Ram J,Sukhija J,et al.Cataract surgery in infants with microphthalmos[J].Graefes Arch Clin Exp Ophthalmol,2015, 253(1):739-743.
[14] Sukhija J,Kaur S,Ram J.Outcome of primary intraocular lens implantation in infants: Complications and rates of additional surgery[J].J Cataract Refract Surg,2016,42(4):1060-1065.
[15] Khairallah M, Messaoud R,Zaouali S,et al.Posterior Segment Changes Associated with Posterior Microphthalmos[J].Ophthalmology,2002,109(3):569-574.
[16] Hoffman R S,Vasavada A R,Allen Q B, et al. Cataract surgery in the small eye[J].J Cataract Refract Surg,2015,41(11):2565-2575.
[17] Faucher A,Hasanee K.Phacoemulsification and intraocular lens implantation in nanophthalmic eyes:report of a medium-size series[J].J Cataract Refract Surg,2002,28(5):837-842.
[18] Lambert S R. Infantile cataracts[J].Surv Ophthalmol,1996,40(6):427-458.
[19] Faramarzi A,Javadi M A.Comparison of 2 techniques of intraocular lens implantation in pediatric cataract surgery[J].J Cataract Refract Surg,2009,35(6):1040-1045.
[20] Ram J,Brar G S,Kaushik S,et al.Primary intraocular lens implantation in the first two years of life:safety profile and visual results[J].Indian J Ophthalmol,2007,55(3):185-189.
[21] Ram J,Gupta N,Sukhija J S,et al.Outcome of cataract surgery with primary intraocular lens implantation in children[J].Br J Ophthalmol,2011,95(8):1086-1090.
[22] Trivedi R H,Wilson M E,Golub R L.Incidence and risk factors for glaucoma after pediatric cataract surgery with and without intraocular lens implantation[J].JAAPOS,2006,10(2):117-123. |
[1] |
. [J]. 滨州医学院学报, 2019, 42(5): 398-398. |
[2] |
SUN Shuai, GENG Lei, XU Xiaoliang, DING Guojian, ZHENG Bufeng, LIU Xijie, FENG Wenyu, FU Tingliang. Meta analysis of efficiency and safety of air versus liquid enema reduction in the treatment of children with intussusception[J]. 滨州医学院学报, 2019, 42(2): 90-95. |
[3] |
LIU Fang, ZHANG Yingxian, WEI Haiyan. Investigation about blood glucose control and life quality of children with type 1 diabetes mellitus[J]. 滨州医学院学报, 2019, 42(1): 24-26. |
|
|
|
|