Uveitic Cataracts In Children Between Visual Outcome And Functional Prognosis: Experience Of The Pediatric Ophthalmology Department Of Casablanca
Published 2024 - 42nd Congress of the ESCRS
Reference: PO485 | Type: Free paper | DOI: 10.82333/7xwv-db34
Authors: Lamia Ajdour* 1 , zyad laftimi 1 , ghizlane daghouj 1 , bouchra allali 1 , loubna elmaaloum 1 , asmaa elkettani 1
1pediatric ophtalmology department,20 august hospital,casablanca,Morocco
Purpose
the aim of our work is to show the circumstances and results of uveitic cataract surgery in children
Setting
Phacoexeresis and implantation during surgery for uveitic cataracts in children helps avoid amblyopia in unilateral cases and reduces the social impact. Control of intraocular inflammation and tolerance of the implant are achieved by heavy systemic immunosuppressive treatment, leading to a better functional prognosis.
Methods
We carried out a retrospective study of 15 patients (19 eyes) concerning children under 15 years of age who underwent cataract surgery between January 2011 and October 2023. The operating protocol consisted of phacoexcision with posterior capsulorhexis, anterior vitrectomy and implantation in the capsular bag. Surgery was indicated after a minimum calm period of 6 months. All patients received a bolus of corticosteroids pre-operatively and underwent amblyopia treatment post-operatively. The main follow-up criteria were visual acuity, slit lamp examination and immunotherapy. suppressor.
Results
The average age of the children operated was 9years,a female predominance of 70%.The etiology of uveitis was JIA in 6 cases, ocular toxoplasmosis in 1,tuberculosis in 1,and 1 case for Eales disease.Initial VA varies between light perception and 2/10. Total white cataract was found in 44% of cases, posterior subcapsular in 39%,anterior subcapsular in 5.5%,cortico-nuclear and posterior subcapsular in 11%. Phacoemulsification was performed with implantation in 18 eyes,only 1 patient was not implanted.Postoperative visual acuity was greater than 7/10 in 68% of cases,between 7/10 and 3/10 in 16%.Complications were inflammatory reaction of anterior segment controlled by corticosteroid treatment in 40% of cases,macular edema occurred in 2 patients
Conclusions
Good preparation for uveitic cataract surgery in children, phacoexeresis associated with implantation and good adherence to the treatment of amblyopia determine a good visual prognosis for these children with good social integration.