Comparison The Complication Rates Of Pediatric Cataract Surgery Younger Than Two- Years Old Of Age: Anterior Chamber Maintainer System Versus Ophthalmic Viscoelastic Device

To compare intraoperative and postoperative complication rates of pediatric cataract surgery between anterior chamber maintainer system (ACM) and ophthalmic viscoelastic device (OVD) for intraoperative intraocular pressure control younger than 2 years old of age pediatric patients.

Bursa Uludag University, Faculty of Medicine, Ophthalmology Department

Thirty-nine eyes of 26 children who underwent pediatric cataract surgery for congenital cataract younger than 2 years of old were retrospectively reviewed. Standard surgical procedure were done for all patients (lens aspiration, posterior capsulorhexis and anterior vitrectomy). Eyes divided into two groups: ACM (Group 1, 24 eyes) and OVD (Group 2, 15 eyes) for intraoperative pressure control. Intraoperative and postoperative complications rates were statistically compared between the groups

The mean age of patients were 9.8 months and the mean follow-up period was 1.2 years. There was no statistically difference between the groups in terms of age, gender and laterality (p>0.05). There was no intraoperative complication in Group 2 ; the most common intraoperative complication was anterior capsular tear in Group 1. At early postoperative period, posterior synechiae (1 eye, 6.6%), capsular phimosis (1 eye, 6.6%), pupillary membrane ( 1 eye, 6.6%) was observed in Group 2; posterior synechiae (1 eye, 4.1%) and lens cortex remnant (1 eye, 4.1%) was observed in Group 1. Most common late postoperative complication was glaucoma in both groups. (p>0.05).

Similar intraoperative, early and late postoperative complication rates were observed in patients younger than 2-years old of age with congenital cataract after pediatric cataract surgery with ACM and OVD.