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21st Annual Meeting of the German Retina Society and 8th Symposium of the International Society of Ocular Trauma (ISOT)

German Retina Society
International Society of Ocular Trauma

19.06. - 22.06.2008, Würzburg

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Posterior capsule status and management in pediatric traumatic cataract surgery

Meeting Abstract

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  • Nadezhda Bobrova - Odessa/Ukraine
  • B.H. Cherif Amor - Odessa/Ukraine
  • A.N. Demboveskaya - Odessa/Ukraine
  • V.I. Shevchik - Odessa/Ukraine

Retinologische Gesellschaft. International Society of Ocular Trauma. 21. Jahrestagung der Retinologischen Gesellschaft gemeinsam mit dem 8. Symposium der International Society of Ocular Trauma. Würzburg, 19.-22.06.2008. Düsseldorf: German Medical Science GMS Publishing House; 2008. DocISOTRG2008P15

The electronic version of this article is the complete one and can be found online at: http://www.egms.de/en/meetings/rg2008/08rg157.shtml

Published: June 18, 2008

© 2008 Bobrova et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.en). You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.

Outline

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Purpose: To assess the posterior capsule status and management in preventing posterior capsule opacification (PCO) in pediatric traumatic cataract surgery.

Materials and methods: 159 eyes –159 children (mean age 10,27±3,3 years; range 4 to 17 years) with monocular traumatic cataract have been analyzed. In majority of children – 83,0% (132 eyes) – traumatic cataracts developed after penetrating injuries and in 17,0% (27 eyes) after blunt injuries. Traumatic cataracts operation were performed in 1 week–3 years after trauma. During operation PCO were observed in 41,7% of cases after penetrating injury and 44,4% after contusion. IOLs were implanted in all cases. Posterior capsule opening were made in 38,1% of cases. The technique of posterior capsule opening: IOL implantation, viscoelastic (provisc) injection in the posterior chamber, creation of the hole in the posterior capsule with a needle, scissor and vitrectomy probe, anterior partial vitrectomy. The posterior capsulorhexis was made smaller than the anterior capsulorhexis.

Results: All patients had a stable IOL position in remote terms after operation. The optic axis remained clear. Best corrected visual acuity ranged from 0,2 to 1,0. No complications have developed in follow up period.

Conclusions: The technique of primary PCCC with anterior vitrectomy is a reproducible, controlled trend for intraoperative posterior capsular opacities management. It is a safe technique avoiding vitreous loss and allowing safe intraocular lens implantation, with a low rate of reopacification.