Outcome of in-the-bag implanted square-edge polymethyl methacrylate intraocular lenses with and without primary posterior capsulotomy in pediatric traumatic cataract
Identifieur interne : 002A43 ( Main/Exploration ); précédent : 002A42; suivant : 002A44Outcome of in-the-bag implanted square-edge polymethyl methacrylate intraocular lenses with and without primary posterior capsulotomy in pediatric traumatic cataract
Auteurs : Neelam Verma [Inde] ; Jagat Ram [Inde] ; Jaspreet Sukhija [Inde] ; Surinder S. Pandav [Inde] ; Amit Gupta [Inde]Source :
- Indian Journal of Ophthalmology [ 0301-4738 ] ; 2011.
Abstract
To study the outcome of in-the-bag implanted square-edge polymethyl methacrylate (PMMA) intraocular lenses (IOL) with and without primary posterior capsulotomy in pediatric traumatic cataract.
The study was undertaken in a tertiary care center. Thirty eyes of 30 children ranging in age from 4 to 16 years with traumatic cataract which underwent cataract extraction with capsular bag implantation of IOL were prospectively evaluated. Group A included 15 eyes of 15 children where primary posterior capsulotomy (PPC) and anterior vitrectomy with capsular bag implantation of square-edge PMMA IOL (Aurolab SQ3602, Madurai, Tamil Nadu, India) was performed. Group B comprised 15 eyes of 15 children in which the posterior capsule was left intact. Postoperative visual acuity, visual axis opacification (VAO) and possible complications were analyzed.
Best corrected visual acuity (BCVA) of 20/40 or better was achieved in 12 of 15 eyes in both groups. Amblyopia was the cause of no improvement in visual acuity in the remaining eyes. Visual axis opacification was significantly high in Group B as compared to Group A (
Primary posterior capsulotomy and anterior vitrectomy with capsular bag implantation of square-edge PMMA significantly helps to maintain a clear visual axis in children with traumatic cataract.
Url:
DOI: 10.4103/0301-4738.83609
PubMed: 21836338
PubMed Central: 3159314
Affiliations:
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Pandav</name><affiliation wicri:level="1"><nlm:aff id="aff1">Advanced Eye Centre, Postgraduate Institute of Medical Education and Research, Chandigarh-160 012, India</nlm:aff><country xml:lang="fr">Inde</country><wicri:regionArea>Advanced Eye Centre, Postgraduate Institute of Medical Education and Research, Chandigarh-160 012</wicri:regionArea><wicri:noRegion>Chandigarh-160 012</wicri:noRegion></affiliation></author><author><name sortKey="Gupta, Amit" sort="Gupta, Amit" uniqKey="Gupta A" first="Amit" last="Gupta">Amit Gupta</name><affiliation wicri:level="1"><nlm:aff id="aff1">Advanced Eye Centre, Postgraduate Institute of Medical Education and Research, Chandigarh-160 012, India</nlm:aff><country xml:lang="fr">Inde</country><wicri:regionArea>Advanced Eye Centre, Postgraduate Institute of Medical Education and Research, Chandigarh-160 012</wicri:regionArea><wicri:noRegion>Chandigarh-160 012</wicri:noRegion></affiliation></author></analytic><series><title level="j">Indian Journal of Ophthalmology</title><idno type="ISSN">0301-4738</idno><idno type="eISSN">1998-3689</idno><imprint><date when="2011">2011</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="st1"><title>Purpose:</title><p>To study the outcome of in-the-bag implanted square-edge polymethyl methacrylate (PMMA) intraocular lenses (IOL) with and without primary posterior capsulotomy in pediatric traumatic cataract.</p></sec><sec id="st2"><title>Materials and Methods:</title><p>The study was undertaken in a tertiary care center. Thirty eyes of 30 children ranging in age from 4 to 16 years with traumatic cataract which underwent cataract extraction with capsular bag implantation of IOL were prospectively evaluated. Group A included 15 eyes of 15 children where primary posterior capsulotomy (PPC) and anterior vitrectomy with capsular bag implantation of square-edge PMMA IOL (Aurolab SQ3602, Madurai, Tamil Nadu, India) was performed. Group B comprised 15 eyes of 15 children in which the posterior capsule was left intact. Postoperative visual acuity, visual axis opacification (VAO) and possible complications were analyzed.</p></sec><sec id="st3"><title>Results:</title><p>Best corrected visual acuity (BCVA) of 20/40 or better was achieved in 12 of 15 eyes in both groups. Amblyopia was the cause of no improvement in visual acuity in the remaining eyes. Visual axis opacification was significantly high in Group B as compared to Group A (<italic>P</italic>=0.001). Postoperative fibrinous uveitis occurred in most of the eyes in both groups. Pupillary capture was observed in one eye in each group.</p></sec><sec id="st4"><title>Conclusion:</title><p>Primary posterior capsulotomy and anterior vitrectomy with capsular bag implantation of square-edge PMMA significantly helps to maintain a clear visual axis in children with traumatic cataract.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Punnonen, E" uniqKey="Punnonen E">E Punnonen</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Johar, K Sr" uniqKey="Johar K">K SR Johar</name></author><author><name sortKey="Savalia, Nk" uniqKey="Savalia N">NK Savalia</name></author><author><name sortKey="Vasavada, Ar" uniqKey="Vasavada A">AR Vasavada</name></author><author><name sortKey="Gupta, Pd" uniqKey="Gupta P">PD Gupta</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Eckstein, M" uniqKey="Eckstein M">M Eckstein</name></author><author><name 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uniqKey="Tronina S">S Tronina</name></author><author><name sortKey="Zetterstrm, C" uniqKey="Zetterstrm C">C Zetterstrm</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Inde</li></country></list><tree><country name="Inde"><noRegion><name sortKey="Verma, Neelam" sort="Verma, Neelam" uniqKey="Verma N" first="Neelam" last="Verma">Neelam Verma</name></noRegion><name sortKey="Gupta, Amit" sort="Gupta, Amit" uniqKey="Gupta A" first="Amit" last="Gupta">Amit Gupta</name><name sortKey="Pandav, Surinder S" sort="Pandav, Surinder S" uniqKey="Pandav S" first="Surinder S." last="Pandav">Surinder S. Pandav</name><name sortKey="Ram, Jagat" sort="Ram, Jagat" uniqKey="Ram J" first="Jagat" last="Ram">Jagat Ram</name><name sortKey="Sukhija, Jaspreet" sort="Sukhija, Jaspreet" uniqKey="Sukhija J" first="Jaspreet" last="Sukhija">Jaspreet Sukhija</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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