Abstract
Influence of intraoperative complication on intraocular rigid lens fixation in pediatric cataract surgery
- Z Kliniki Okulistyki Instytutu „Pomnik – Centrum Zdrowia Dziecka” w Warszawie
Purpose
This paper presents the intraoperative complications in pediatric cataract surgery with IOL implantation and their influence on fixation place.
Material and methods
384 eyes of 276 children undergone operative procedure for cataract. Anterior capsulorhexis, lens cortical aspiration, primary posterior capsulorhexis with anterior vitrectomy and IOL implantation were done in all eyes. The place of IOL implantation was capsular sac or ciliary sulcus.
Results
There were no serious intraoperative complications but in cases with large anterior (5.2%) and posterior (14.6%) radial capsule tears, vitreous loss (12.3%), and hemorrhage (5.5%) to anterior and posterior chamber the IOL was fixated at ciliary sulcus (in 37.5%).
Conclusions
The surgical procedure is useful and safe in the management of pediatric cataract. Location of an IOL in the ciliary sulcus in a child, is acceptable. To avoid decentration in this cases, we recommend rigid PMMA IOLs.
Keywords
children, cataract, primary posterior continous capsulorhexis, anterior vitrectomy, artificial intraocular lens
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