MANAGEMENT OF SECONDARY CATARACTS IN CHILDREN: EXPERIENCE OF OUR DEPARTEMENT
Published 2024 - 28th ESCRS Winter Meeting
Reference: P035 | Type: Presented Poster & Poster | DOI: 10.82333/0b4y-mf81
Authors: Ayad Rima* 1 , zineb hammoumi 1 , zyad laftimi 1 , ghizlane daghouj 1 , loubna el maaloum 1 , bouchra allali 1 , asma el kettani 1
1ophtalmologie pediatrique,hopital20aout,Casablanca,Morocco
Purpose
Secondary cataract or posterior capsule opacification is the most common complication of cataract surgery. In adults, it affects around one in three people, while its incidence is estimated at 100% in children. Management of this complication is essential to prevent amblyopia.
The aim of this study is to report on the experience of our department in the management of secondary cataract in children.
Setting
Retrospective study including all children who benefited from surgical or YAG laser posterior capsulotomy, between January 2016 and September 2023, at the pediatric ophthalmology department of Hôpital 20 Aout CHU Ibn Rochd Casablanca
Methods
Retrospective study including all children who benefited from surgical or YAG laser posterior capsulotomy, between January 2016 and September 2023, at the pediatric ophthalmology department of Hôpital 20 Aout CHU Ibn Rochd Casablanca
Results
A total of 442 eyes of 289 patients underwent surgery for congenital or post-traumatic cataract during this period. Median follow-up was 3.4 years. 140 eyes (31.6%) of 108 patients developed a secondary cataract covering the visual axis and requiring posterior capsulotomy. The median time to onset was 10.2 months. 93 eyes (66%) of 71 patients aged under 7 years benefited from surgical posterior capsulotomy, and 47 eyes or 37 patients aged over 7 years benefited from YAG laser.
Conclusion
The management of secondary cataract in children relies essentially on its prevention, and this is based on the removal of cell proliferation supports during cataract surgery: posterior lens capsule, hyaloid and anterior vitreous.