gms | German Medical Science

32. Kongress der Deutschsprachigen Gesellschaft für Intraokularlinsen-Implantation, Interventionelle und Refraktive Chirurgie (DGII)

Deutschsprachige Gesellschaft für Intraokularlinsen-Implantation, Interventionelle und Refraktive Chirurgie (DGII)

15.02. - 17.02.2018, Dresden

Keynote lecture: 45 years pediatric cataract surgery

Meeting Abstract

Suche in Medline nach

  • Robert C. Stegmann - Pretoria/ZA

Deutschsprachige Gesellschaft für Intraokularlinsen-Implantation, Interventionelle und Refraktive Chirurgie. 32. Kongress der Deutschsprachigen Gesellschaft für Intraokularlinsen-Implantation, Interventionelle und Refraktive Chirurgie (DGII). Dresden, 15.-17.02.2018. Düsseldorf: German Medical Science GMS Publishing House; 2018. Doc18dgii064

doi: 10.3205/18dgii064, urn:nbn:de:0183-18dgii0640

Veröffentlicht: 22. Februar 2018

© 2018 Stegmann.
Dieser Artikel ist ein Open-Access-Artikel und steht unter den Lizenzbedingungen der Creative Commons Attribution 4.0 License (Namensnennung). Lizenz-Angaben siehe http://creativecommons.org/licenses/by/4.0/.


Gliederung

Text

With the benefit of 45 years and more than 3,000 cases operated to date with the longest follow ups of 27 years a pattern has emerged to increase success and reduce complications exponentially. Congenital, developmental and traumatic cataracts occur in Africa at a significantly higher rate than in Europe and makes for a very absorbing and rewarding experience managing this important sector of ophthalmic surgery.

Forty five years ago the accepted method of cataracts in children was managed by inserting a discision knife through the limbus and cutting up the anterior capsule and then exiting the eye to allow enzymatic degradation of consents over a period of weeks to months. This resulted in inflammation and thick fibrotic membranes forming and numerous complications that included secondary glaucoma and anterior segment chaos from anterior and posterior synechiae and retinal detachments to confound the visual prognosis.

Weeks to months later a secondary procedure was carried out to cut through the resultant fibrotic membranes to clear a central visual axis for vision by means of thick aphakic spectacles or at best contact lenses in a minority of cases.

Between 1973 and 1979 we had abandoned this procedure and proceeded to ECCE with much improved results. In 1980 with the expertise of 2 years using Sodium Hyaluronate (Healon) in IOL implantation in adults the time had arrived to manage the paediatric cataract by means of IOL’s. Not surprisingly this was a rocky path and the presentation will illustrate this new phase chronologically to show how we have arrived at the exciting and rewarding results that are achieved today.