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Combined clear corneal and pars plicata approach for paediatric cataract surgery with intraocular lens implantation

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Session Details

Session Title: Congenital Cataract Surgery

Session Date/Time: Sunday 14/09/2014 | 16:30-18:30

Paper Time: 16:30

Venue: Boulevard A

First Author: : H.Yetik TURKEY

Co Author(s): :    S. Sirop   C. Dogan           

Abstract Details


To define and to investigate the safety and efficacy of combined clear corneal and pars plicata approach technique for paediatric cataract surgeries with intraocular lens (IOL) implantation


Clinical practice of interventional case series / Istanbul University, Cerrahpasa School of Medicine, Surp Pırgic Armenian Hospital


28 eyes of 18 patients including 8 bilateral (all congenital) and 12 unilateral (3 congenital, 9 traumatic) cases with an age of 51,555± 40,255 months (range 14 to 144 months) were included in the study without any randomisation or masking procedure. Patients were followed up for 37,411± 18,130 months (range 12 to 84 months). Surgery was performed in 2 steps: 1) Clear corneal cataract extraction by bimanual I-A (irrigation aspiration) technique and unibody foldable acrylic IOL implantation without any corneal suture. 2) Bimanual pars plicata I-V (irrigation vitrectomy) technique for anterior vitrectomy and posterior capsulectomy. Main outcome measures followed throughout the study were secondary cataract formation, glaucoma and retinal complications.


All cases got successful IOL implantation. Three over 28 eyes needed secondary clear corneal bimanual surgical approach to clean the secondary cataract developed after 1 to 3 months. Neither glaucoma nor retinal or other anterior or posterior segment complication was observed.


Combined clear corneal and pars plicata approach seems very effective and safe surgical technique for paediatric cataract surgery with IOL implantation.

Financial Interest:


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