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10 - 14 Sept. 2016, Bella Center, Copenhagen, Denmark

This Meeting has been awarded 27 CME credits

 

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Cataract surgery with primary intraocular lens implantation in bilateral and unilateral congenital cataracts

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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: 10:40

Venue: Poster Village: Pod 1

First Author: : A.Oral TURKEY

Co Author(s): :    U. Calli   N. Tutas Gunaydin   E. Goktas   D. Yaprak   A. Karatay Arsan  

Abstract Details

Purpose:

To evaluate the visual outcomes and the factors influencing the final visual acuity of cataract surgeries with primary intraocular lens (IOL) implantation for bilateral (BCC) and unilateral congenital cataracts (UCC) in children.

Setting:

Dr. Lutfi Kirdar Kartal Training and Research Hospital, Istanbul-Turkey, Eye Clinic

Methods:

Thirty-three patients with congenital cataracts who had undergone bilateral and unilateral cataract removal and primary IOL implantation at the Dr. L. Kırdar Kartal Training and Research Hospital between 2003 and 2015 were retrospectively reviewed. Eighteen bilateral (8 females, 10 males) and 13 unilateral (6 females, 7 males) congenital cataract patients were analyzed. All patients had lensectomy with anterior capsulorhexis and posterior capsulotomy and primary hydrophobic acrylic IOL implantation. Age at surgery, age at last follow-up, mean follow-up period after surgery, mean logMAR best corrected visual acuity (BCVA) at last follow-up, presence of strabismus and nystagmus were recorded.

Results:

In patients with BCC, mean age at surgery was 4.2 years, age at final visit was 10.1 years, follow-up period was 5.9 years and final BCVA was 0.33 logMAR. In UCC patients, mean age at surgery was 3.2 years, age at final visit was 8.07 years, follow-up time was 4.9 years and final BCVA was 0.66 logMAR. The rate of strabismus and preoperative nystagmus were 33% and 5.5% in BCC patients and were 38.4% and 23% in UCC cases respectively. While the mean age at surgery, age at final visit and follow-up time was not statistically significant; but, the final BCVA was statistically different between two groups.

Conclusions:

Although demographic features were similar between bilateral and unilateral congenital cataract patients who had gone cataract extraction and primary IOL implantation, final BCVA and the rate of strabismus and nystagmus were significantly better in bilateral cataract group. The rate of strabismus and nystagmus can be the cause of worse visual results in children with unilateral congenital cataract as a result of visual deprivation during the critical period of visual development.

Financial Disclosure:

NONE

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