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After cataract (PCO) formation in paediatric pseudophakic eyes after early congenital cataract surgery

Poster Details

First Author: N.Bobrova UKRAINE

Co Author(s):    A. Dembovetskaya                    

Abstract Details

Purpose:

To study distinctive features of after-cataract formation in pseudophakic peadiatric eyes after early congenital cataracts surgery.

Setting:

SI «Filatov Institute of Eye Diseases and Tissue Therapy NAMS of Ukraine», Peadiatric department, Odessa, Ukraine

Methods:

96 infants 1-24 mo/o (mean 9,9±5,3 mo) with congenital cataracts (154 eyes) after phacoaspiration with primary IOL Acrysof implantation. PCCR with dry vitrectomy during primary procedure was performed on 87 eyes (56,5%). Transparent posterior capsule was preserved on 67 eyes (43,5%).

Results:

After-cataract has developed in 12 months follow up on 129 of 154 eyes (83,7 %): 100% infants operated before 3 mo/o, 85,0% - before 6 mo/o, 83,3% - before 9 mo/o, 81,3% - after 10 mo/o. PCO formation was found almost with nearly frequency after primary posterior capsule preservation (89,6%) and after PCCR with dry vitrectomy (79,3%). Thus, absence of posterior capsule, anterior hyaloid membrane and vitreous behind IOL optic did not stop after-cataract formation. Posterior IOL surface at these cases becomes a basis for proceeding LEC growth which the thin neogenic membrane formation closely connected with posterior IOL surface.

Conclusions:

PCO has developed more often and faster on pseudophakic eyes of the youngest patients operated before 3 (100%) and 6 mo/o (85,0%). PCO has developed actually with nearly frequency as after posterior capsule preservation (89,6%) as after PCCR with dry vitrectomy (79,3%) during primary procedure.

Financial Disclosure:

NONE

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