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Comparison of posterior continuous curvilinear capsulorhexis with and without optic capture of the posterior chamber intraocular lens in pediatric cataract surgery

Poster Details

First Author: O.Arslan TURKEY

Co Author(s):    C. Arici   S. Mangan   M. Unal   I. Toker   E. Atalay  

Abstract Details



Purpose:

To compare the results of 2 posterior chamber intraocular lens (PCIOL) implantation techniques in pediatric cataract surgery

Setting:

Istanbul University Cerrahpasa School of Medicine Department of Ophthalmology.

Methods:

Fifty-three eyes of 45 children with congenital or developmental cataract, aged 3 to 10 years (mean, 6.31 years), were included in this prospective, randomized study. In all cases, anterior capsulorhexis, lens aspiration, posterior continuous curvilinear capsulorhexis (PCCC) were performed. In group 1 (25 eyes of 20 children) PCIOL was performed with optic capture. In group 2 (28 eyes of 25 children) PCIOL was performed without optic capture. Best corrected visual acuity (BCVA), secondary opacification of the visual axis and complications were assessed.

Results:

The mean follow-up was 11,2 ±3,5 months (range 6 to 18 months). The visual axis remained clear in all eyes in group 1. Four eyes (14,3%) in group 2 had significant opacification of the visual axis. There was no significant difference between the 2 groups in best corrected visual acuity or complications (eg, anterior chamber reaction, fibrin formation, posterior synechia, significant IOL decentration).

Conclusions:

PCIOL implantation with optic capture following PCCC is safe and effective procedure for prevention of secondary opacification of the visual axis in the absence of anterior vitrectomy.

Financial Disclosure:

NONE

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