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Session Title: Paediatric Cataract Surgery
Session Date/Time: Monday 07/10/2013 | 16:30-18:00
Paper Time: 16:42
Venue: Forum (Ground Floor)
First Author: : M.Diab SAUDI ARABIA
Co Author(s): :
Cataract surgery is the most common intraocular surgery in the pediatric population. Monitoring for complications and ensuring a clear visual axis is of paramount importance for the visual development of children.
Corneal changes are known to occur after pediatric cataract surgery. Basti et al evaluated the corneal endothelial cell loss after pediatric cataract surgery and estimated a mean cell loss of 5.3% which increases to 7.5% if anterior vitrectomy is performed
Retrospective analysis of endothelial cell characteristics OF 56 eyes of 32 patients after pediatric cataract surgery with specular microscopy.
56 eyes of 32 patients were evaluable with 29 operated eyes and 27 controls. Mean age at testing was 9.4 years with a mean interval of 6.7 years after cataract surgery. Mean endothelial cell density in operated eyes was 2583 cells/mm2 (control eyes, 3016, p=0.0004). Mean coefficient of variation was 37% (control eyes, 30%, p=0.002) and mean percentage of hexagonal cells was 39% (control eyes, 51%, p= 0.0001). There was no significant difference based on age, contact lens use, presence of IOL, or number of second surgeries.
This study demonstrates that children undergoing cataract surgery often show lower endothelial cell counts with abnormal cell morphology, and may be at risk of developing long term corneal complications. Follow up is mandatory and monitoring the endothelial cell count is advisable
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