Mohammed, H., Abdelatif, I., Ismail, A., Ammar, H. (2017). The Outcome of Pediatric Cataract Surgery in Sohag University Hospital. test, 21(3), 453-460. doi: 10.21608/smj.2017.41409
Hany Fathy Mohammed; Ismael Moussa Abdelatif; Ali Mahmoud Ismail; Hatem Ammar. "The Outcome of Pediatric Cataract Surgery in Sohag University Hospital". test, 21, 3, 2017, 453-460. doi: 10.21608/smj.2017.41409
Mohammed, H., Abdelatif, I., Ismail, A., Ammar, H. (2017). 'The Outcome of Pediatric Cataract Surgery in Sohag University Hospital', test, 21(3), pp. 453-460. doi: 10.21608/smj.2017.41409
Mohammed, H., Abdelatif, I., Ismail, A., Ammar, H. The Outcome of Pediatric Cataract Surgery in Sohag University Hospital. test, 2017; 21(3): 453-460. doi: 10.21608/smj.2017.41409

The Outcome of Pediatric Cataract Surgery in Sohag University Hospital

Sohag Medical Journal
Article 54, Volume 21, Issue 3, October 2017, Pages 453-460    PDF (67.03 K)
Document Type: Original Article
DOI: 10.21608/smj.2017.41409
Authors
Hany Fathy Mohammed1; Ismael Moussa Abdelatif2; Ali Mahmoud Ismail3; Hatem Ammar4
1Department of Opthalmology, Sohag Faculty of Medicine, Sohag University
2Department of Ophthalmology, Faculty of Medicine, Sohag University.
3Department of Ophthalmology, Faculty of Medicine, Sohag University.
4Department of Ophthalmology, Faculty of Medicine, Sohag University.
Abstract
Introduction: Worldwide, an estimated 1.4 million children are blind, of whom approximately 190,000 (14%) are blind owing to bilateral un-operated cataract, complications of surgery, amblyopia due to delayed surgery, or the presence of other associated anomalies. Pediatric cataract blindness presents an enormous problem to developing countries in terms of human morbidity, economic loss, and social burden. Managing cataracts in children remains a challenge, even in the industrialized world. Treatment is often difficult and tedious and requires a dedicated team effort.
Aim of the work: To evaluate the experience with the surgical management of various types of pediatric cataract, managed at the Ophthalmology department, Sohag University Hospital during the period of the study
Patients and Methods: A prospective, randomized study, patients were divided into 3 groups based on the surgical technique they had undergone. Group A "25 patients" : patients who have undergone Lensectomy anterior vitrectomy (LAV). GroupB"24patients": patients who have undergone Extracapsular cataract extraction, primary posterior capsulorhexis or capsulotomy, anterior vitrectomy, and IOL implantation (ECCE/PPC/AV/IOL). Group C"26patients": patients who have undergone Extracapsular Cataract Extraction and IOL Implantation (ECCE/IOL)
Results: Uncorrected visual acuity was better than 6/60 in 27 eyes (27.8%); 13 (13.4%) in group B and 14 (14.4%) in group C. Acuity of 1/60 to 6/60 was measured in 5 eyes (5.1%); 3 (3.1%) in group B and 2 (2%) in group C. The remaining 5 eyes had visual acuity less than 1/60 and this was attributed to amblyopia.
Conclusion: IOL implantation at primary cataract surgery helps to prevent development of secondry glaucoma, but increases the number of interventions for VAO in infants.
Keywords
Cataract; Sohag university
Supplementary Files
References

1.  Zetterstrom C, Lundvall A, Kugelberg M. Cataracts in children. Journal of cataract and refractive surgery. 2005;31(4):824-40.

2.  Stagno S, Reynolds DW, Amos CS, Dahle AJ, McCollister FP, Mohindra I, et al. Auditory and visual defects resulting from symptomatic and subclinical congenital cytomegaloviral and toxoplasma infections. Pediatrics. 1977;59(5):669-78.

3 Shafie SM, Barria von-Bischhoffshausen FR, Bateman JB. Autosomal Dominant Cataract: Intrafamilial Phenotypic Variability, Interocular Asymmetry, and Variable Progression in Four Chilean Families. Am J Ophthalmol. 2006;141(4):750-2.

4.    Apple DJ, Holden JD, Stallworth B. Ocular pathology of Patau's syndrome with an unbalanced D-D translocation. Am J Ophthalmol. 1970;70(3):383-91.

5.    Vasavada VA, Dixit NV, Ravat FA, Praveen MR, Shah SK, Vasavada V, et al. Intraoperative performance and postoperative outcomes of cataract surgery in infant eyes with microphthalmos. Journal of cataract and refractive surgery. 2009;35(3):519-28.

6.    Yu YS, Kim SJ, Choung HK. Posterior chamber intraocular lens implantation in pediatric cataract with microcornea and/or microphthalmos. Korean journal of ophthalmology : KJO. 2006;20(3):151-5.

7.    Mullner-Eidenbock A, Amon M, Hauff W, Klebermass N, Abela C, Moser E. Surgery in unilateral congenital cataract caused by persistent fetal vasculature or minimal fetal vascular remnants: age-related findings and management challenges. Journal of cataract and refractive surgery. 2004;30(3):611-9.

8.    Kuhli-Hattenbach C, Luchtenberg M, Kohnen T, Hattenbach LO. Risk factors for complications after congenital cataract surgery without intraocular lens implantation in the first 18 months of life. Am J Ophthalmol. 2008;146(1):1-7.

9.    Khan AO. Emmetropization after lensectomy and anterior vitrectomy for persistent hyperplastic primary vitreous cataract. Eye Contact Lens. 2007;33(4):199-200.

10.  Chen MS, Ye YJ, Wang Y, Liu Y, Wu L, Luo WX. [Posterior continuous curvilinear capsulorhexis with optic capture of the posterior chamber intraocular lens in pediatric cataract]. [Zhonghua yan ke za zhi] Chinese journal of ophthalmology. 2006;42(5):400-2.

11. Ram J, Brar GS, Kaushik S, Gupta A, Gupta A. Role of posterior capsulotomy with vitrectomy and intraocular lens design and material in reducing posterior capsule opacification after pediatric cataract surgery. Journal of cataract and refractive surgery. 2003;29(8):1579-84.

12. Lam DS, Fan DS, Mohamed S, Yu CB, Zhang SB, Chen WQ. 25-gauge transconjunctival sutureless vitrectomy system in the surgical management of children with posterior capsular opacification. Clin Exp Ophthalmol. 2005;33(5):495-8.

13. Xie L, Huang Y. Pars plana capsulectomy and vitrectomy for posterior capsular opacification in pseudophakic children. Journal of pediatric ophthalmology and strabismus. 2008;45(6):362-5.

14. Stager DR, Jr., Wang X, Weakley DR, Jr., Felius J. The effectiveness of Nd:YAG laser capsulotomy for the treatment of posterior capsule opacification in children with acrylic intraocular lenses. Journal of AAPOS : the official publication of the American Association for Pediatric Ophthalmology and Strabismus. 2006;10(2):159-63.

15. Aasuri MK, Fernandes M, Pathan PP. Comparison of acrylic and polymethyl methacrylate lenses in a pediatric population. Indian J Ophthalmol. 2006;54(2):105-9.

16. Raina UK, Gupta V, Arora R, Mehta DK. Posterior continuous curvilinear capsulorhexis with and without optic capture of the posterior chamber intraocular lens in the absence of vitrectomy. Journal of pediatric ophthalmology and strabismus. 2002;39(5):278-87.

7. Grieshaber MC, Pienaar A, Stegmann R. Posterior vertical capsulotomy with optic entrapment of the intraocular lens in congenital cataracts--prevention of capsule opacification. Journal of cataract and refractive surgery. 2005;31(5):886-94.

Statistics
Article View: 171
PDF Download: 258