Complications of various methods for implanting intraocular lenses in the surgical treatment of congenital cataract

Author:

Fediashev G. A.1ORCID,Kasatkina I. S.2,Makarevich E. S.3

Affiliation:

1. Pacific State Medical University; Primorskiy Center of Eye Microsurgery

2. Primorskiy Center of Eye Microsurgery

3. Pacific State Medical University

Abstract

Objective: Comparison of complications development rate in various methods for implanting intraocular lenses (IOLs) in the surgical treatment of congenital cataract.Methods: The results of surgical treatment of 16 children under 5 years old with bilat‑ eral congenital cataract were assessed. In each case, IOL was implanted according to the technique “optic capture” into one eye (the 1st group of study); the lens was implanted after capsulorrhexis and extraction of anterior segments of vitreous body into the second eye (the 2nd group of study).Results: Fibrinoplastic complications in the postoperative period were more often recorded in the 2nd group than in the 1st one (5 and 1 eyes, respectively). Epithelial proliferation in the 2nd group developed in 10, in the 1st group – in 5 eyes.Conclusions: In the surgical treatment of congenital cataract, implantation of IOLs according to the technique “optic capture” is an effective way of epithelial proliferation and opacity prevention reducing visual acuity in postoperative period. This method is safe regarding inflammatory fibrinoplastic reactions and allows maintaining normal anatomical position of the vitreoretinal structures of the growing eye. 

Publisher

Pacific State Medical University

Subject

General Medicine

Reference15 articles.

1. Wu X, Long E, Lin H, Liu Y. Prevalence and epidemiological characteristics of congenital cataract: A systematic review and meta-analysis. Sci Rep. 2016;6:28564. doi: 10.1038/srep28564

2. Pershin PB, Pashinova NF, Cherkashina AV. Some modern aspects of cataract treatment in children. Russian Journal of Current Pediatrics. 2012;11(2):68–73 (In Russ).

3. Kruglova TB, Egiyan NS, Kononov LB. Surgical tactics for the extraction of congenital cataracts during primary IOL implantation in children with pathology of the posterior lens capsule. Bulletin of the Orenburg State University. 2013;4:153–5 (In Russ).

4. Zhou HW, Zhou F. A meta-analysis on the clinical efficacy and safety of optic capture in pediatric cataract surgery. Int J Ophthalmol. 2016;9(4):590–6.

5. Fediashev GA. A method of increasing the rotational stability of toric intraocular lenses. Pacific Medical Journal. 2015;3:26–8 (In Russ).

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