gms | German Medical Science

21. Jahrestagung der Retinologischen Gesellschaft gemeinsam mit dem
8. Symposium der International Society of Ocular Trauma

Deutsche Gesellschaft für Retinologie
International Society of Ocular Trauma

19.06. - 22.06.2008, Würzburg

Posterior capsule status and management in pediatric traumatic cataract surgery

Meeting Abstract

  • 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

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Veröffentlicht: 18. Juni 2008

© 2008 Bobrova et al.
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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.