Copenhagen 2016 Registration Programme Exhibitor Information Virtual Exhibition Satellite Meetings Glaucoma Day 2016 Hotel Star Alliance
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10 - 14 Sept. 2016, Bella Center, Copenhagen, Denmark

This Meeting has been awarded 27 CME credits

 

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Optical rehabilitation and complications of congenital cataracts with microphthalmia

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Session Details

Session Title: Presented Poster Session: Congenital Cataract Surgery

Session Date/Time: Saturday 10/09/2016 | 09:30-10:50

Paper Time: 10:10

Venue: Poster Village: Pod 1

First Author: : A.Özmen TURKEY

Co Author(s): :    S. Kıvanç    S. Yasar   Z. Onaran        

Abstract Details

Purpose:

To evaluate the visual outcomes and surgical complications in patients with microphthalmia and congenital cataract who underwent surgery without intraocular lens (IOL) implantation.

Setting:

Uludag University, Department of Ophthalmology, Bursa, Turkey.

Methods:

A retrospective review of consecutive patients with microphthalmia and cataract who underwent surgery without IOL implantation January 2008 and December 2015 was conducted. Patients were rehabilitated for their vision with spectacles or contact lenses (CL) postoperatively. Thirty-five eyes of 23 (11 male, 12 female) patients with a mean post-operative follow up of 4.4±2.6 years were enrolled in the study. Pre-and post-operative visual acuity (VA), complications and visual rehabilitation methods were noted.

Results:

Mean age at surgery of the patients was 2.8±4.1 years old. Initial and final VAs were 0.20±0.20 and 0.23±0.20 with Snellen acuity respectively. Glaucoma in 4, persistent fetal vasculature in 2 and other ocular abnormalities in 5 different eyes were accompanying. We combined lens aspiration with trabeculectomy in 4 eyes and pars plana vitrectomy in 1 eye. For post-operative visual rehabilitation, spectacles, CLs and both methods were used in 10, 18, 5 eyes respectively. Mean spherical equivalent of aphakic correction of patients with spectacles was 15.8±2.4 D. and with CLs 25.6±7.4 D. respectively. Pupillary membrane formation was determined as post-operative complication in 3 and hypotonia in 2 eyes.

Conclusions:

The results of this case series confirms that obtaining visual improvement in microphthalmic eyes was very difficult, even after uneventful surgery. Similar post-operative visual results were obtained both with aphakic spectacles and contact lenses. Complications following congenital cataract surgery in microphthalmic patients were not sight threatening.

Financial Disclosure:

NONE

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