Visual outcomes and complications of congenital cataract surgery.
J Fr Ophtalmol
; 42(4): 368-374, 2019 Apr.
Article
em En
| MEDLINE
| ID: mdl-30898370
ABSTRACT
PURPOSE:
To describe the visual results and postoperative complications of congenital cataract surgeries performed between 2005 and 2016.METHODS:
A retrospective consecutive case series of congenital cataract surgeries was carried out at the Dijon University Hospital in France. Intraocular lens implantation was primary or secondary according to age. Pre- and post-operative assessment was performed through ophthalmologic consultations with orthoptic measurements. Visual function and adverse events were recorded.RESULTS:
Fifty-six consecutive procedures were evaluated in 37 infants. Overall, 26.8% of patients had unilateral cataracts, and 73.2% had bilateral cataracts. Median age at surgery was 1.0 years [IQR (interquartile range) 0.3-5.2] and 2.7 years [IQR 0.4-9.5] for unilateral and bilateral cataracts, respectively. Median best-corrected visual acuity (BCVA) at the last follow-up was 0.5logMAR [IQR 0.2-0.8] and 0.1logMAR [IQR 0.0-0.8] for the unilateral and bilateral group, respectively. Posterior capsule opacification (PCO) was the primary postoperative complication 60.0% in unilateral cataract and 46.3% in bilateral cataracts (P=0.019). Median follow-up was 2.0 years [IQR 1.0-5.0].CONCLUSION:
Congenital cataract surgery appears to be safe and effective when combined with early, conscientious amblyopia treatment. Bilateral congenital cataracts had better visual outcome than unilateral cataract.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Temas:
Geral
/
Cirurgia_oncologica
Base de dados:
MEDLINE
Assunto principal:
Complicações Pós-Operatórias
/
Catarata
/
Extração de Catarata
/
Acuidade Visual
Tipo de estudo:
Etiology_studies
/
Observational_studies
/
Risk_factors_studies
Limite:
Child, preschool
/
Female
/
Humans
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Infant
/
Male
País/Região como assunto:
Europa
Idioma:
En
Revista:
J Fr Ophtalmol
Ano de publicação:
2019
Tipo de documento:
Article
País de afiliação:
França