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Posterior capsule opacification (PCO) in paediatric eyes with and without traumatic cataract surgery with in-the-bag single-piece hydrophobic acrylic IOL implantation

Poster Details

First Author: M.Kamel SAUDI ARABIA

Co Author(s):                  

Abstract Details



Purpose:

To compare incidence of PCO in pediatric eyes with traumatic and nontraumatic cataract.

Setting:

Magrabi Hospital Aseer

Methods:

Control group was matched in reference to age, follow-up, primary management of posterior capsule, and type of IOL (SA60AT, SN60AT & SN60WF).

Results:

n=62 (31 in each group). Traumatic versus non-traumatic group: age 8.4 versus 9.1 years (p = 0.7); follow-up: 2.4 versus 2.6 years (p = 0.9); intact posterior capsule: 14 in each group; second procedure for PCO: 13/31 (42%) eyes in traumatic versus 2/31 (6.5%) in non-traumatic group (p = 0.005).

Conclusions:

Even with age appropriate management of the posterior capsule, eyes with traumatic cataract are more likely to develop visual axis opacification than eyes with nontraumatic cataract. This difference persists in subgroup analysis of those with primary posterior capsulotomy and vitrectomy. Because of the increased risk for PCO, primary posterior capsulotomy and vitrectomy should be recommended and considered in pediatric traumatic cataract, even for older children FINANCIAL INTEREST: NONE

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