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Cataract surgery with intraocular lens implantation in children aged 5-15 in local anaesthesia: visual outcomes and complications

The aim of this study was to report feasibility, the visual outcomes and complications of pediatric cataract surgery with primary intraocular lens implantation in children aged 5 to15 years in local anesthesia. This retrospective interventional case series included 62 eyes from 50 children who under...

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Autores principales: Giles, Kagmeni, Christelle, Domngang, Yannick, Bilong, Fricke, Otto Herrmann, Wiedemann, Peter
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The African Field Epidemiology Network 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5072871/
https://www.ncbi.nlm.nih.gov/pubmed/27795795
http://dx.doi.org/10.11604/pamj.2016.24.200.9771
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author Giles, Kagmeni
Christelle, Domngang
Yannick, Bilong
Fricke, Otto Herrmann
Wiedemann, Peter
author_facet Giles, Kagmeni
Christelle, Domngang
Yannick, Bilong
Fricke, Otto Herrmann
Wiedemann, Peter
author_sort Giles, Kagmeni
collection PubMed
description The aim of this study was to report feasibility, the visual outcomes and complications of pediatric cataract surgery with primary intraocular lens implantation in children aged 5 to15 years in local anesthesia. This retrospective interventional case series included 62 eyes from 50 children who underwent pediatrc cataract surgery with primary intraocular lens implantation at the Mana eye Clinic Nkongsamba between 2006 and 2015 Main outcome measures were: best-corrected post operative visual acuity, and intraoperative and postoperative complications. Mean age at surgery was 10.18 ± 3.21 years. Mean follow up length was 15.75 ± 3.36 weeks. Etiology included: 10 congenital cataracs (16.12%). 35 developmental cataracts (56.45%) and 17 traumatic cataracts (27.41%). The mean preoperative BCVA was logMAR 1.19 ± 0.33. (range 0.6-2.3). After cycloplegia refraction 2 weeks after surgery, the mean postoperative BCVA was log MAR 0.58 ± 0.88 ( range 0.5-1.8). The mean implanted IOL power was 22.01 ±3.16 D. IOL was succefuly implanted in 54 eyes (87.07%). Eight eyes (9.67%) were left aphakic. Increase in BCVA of 4 logMAR lines and above was recorded in 27 patients (43.55%). Intraoperative complications included: 4 posterior capsule holes with vitrous lost, 3 lenses subluxation and 1 case of iris dialyse. Late postoperative complications included: posterior capsular opacity which occurred in 16 patients, 3 posterior synechia, 2 retinal detachment. Peribulbar anaesthesia can be considered as a viable option in selected patients presenting developmental cataract undergoing cataract surgery in developing countries. Effort should be made to improve the early identification of congenital cataract and its early surgical intervention and prompt optical rehabilitation to prevent amblyopia.
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spelling pubmed-50728712016-10-28 Cataract surgery with intraocular lens implantation in children aged 5-15 in local anaesthesia: visual outcomes and complications Giles, Kagmeni Christelle, Domngang Yannick, Bilong Fricke, Otto Herrmann Wiedemann, Peter Pan Afr Med J Case Series The aim of this study was to report feasibility, the visual outcomes and complications of pediatric cataract surgery with primary intraocular lens implantation in children aged 5 to15 years in local anesthesia. This retrospective interventional case series included 62 eyes from 50 children who underwent pediatrc cataract surgery with primary intraocular lens implantation at the Mana eye Clinic Nkongsamba between 2006 and 2015 Main outcome measures were: best-corrected post operative visual acuity, and intraoperative and postoperative complications. Mean age at surgery was 10.18 ± 3.21 years. Mean follow up length was 15.75 ± 3.36 weeks. Etiology included: 10 congenital cataracs (16.12%). 35 developmental cataracts (56.45%) and 17 traumatic cataracts (27.41%). The mean preoperative BCVA was logMAR 1.19 ± 0.33. (range 0.6-2.3). After cycloplegia refraction 2 weeks after surgery, the mean postoperative BCVA was log MAR 0.58 ± 0.88 ( range 0.5-1.8). The mean implanted IOL power was 22.01 ±3.16 D. IOL was succefuly implanted in 54 eyes (87.07%). Eight eyes (9.67%) were left aphakic. Increase in BCVA of 4 logMAR lines and above was recorded in 27 patients (43.55%). Intraoperative complications included: 4 posterior capsule holes with vitrous lost, 3 lenses subluxation and 1 case of iris dialyse. Late postoperative complications included: posterior capsular opacity which occurred in 16 patients, 3 posterior synechia, 2 retinal detachment. Peribulbar anaesthesia can be considered as a viable option in selected patients presenting developmental cataract undergoing cataract surgery in developing countries. Effort should be made to improve the early identification of congenital cataract and its early surgical intervention and prompt optical rehabilitation to prevent amblyopia. The African Field Epidemiology Network 2016-07-07 /pmc/articles/PMC5072871/ /pubmed/27795795 http://dx.doi.org/10.11604/pamj.2016.24.200.9771 Text en © Kagmeni Giles et al. http://creativecommons.org/licenses/by/2.0/ The Pan African Medical Journal - ISSN 1937-8688. This is an Open Access article distributed under the terms of the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Series
Giles, Kagmeni
Christelle, Domngang
Yannick, Bilong
Fricke, Otto Herrmann
Wiedemann, Peter
Cataract surgery with intraocular lens implantation in children aged 5-15 in local anaesthesia: visual outcomes and complications
title Cataract surgery with intraocular lens implantation in children aged 5-15 in local anaesthesia: visual outcomes and complications
title_full Cataract surgery with intraocular lens implantation in children aged 5-15 in local anaesthesia: visual outcomes and complications
title_fullStr Cataract surgery with intraocular lens implantation in children aged 5-15 in local anaesthesia: visual outcomes and complications
title_full_unstemmed Cataract surgery with intraocular lens implantation in children aged 5-15 in local anaesthesia: visual outcomes and complications
title_short Cataract surgery with intraocular lens implantation in children aged 5-15 in local anaesthesia: visual outcomes and complications
title_sort cataract surgery with intraocular lens implantation in children aged 5-15 in local anaesthesia: visual outcomes and complications
topic Case Series
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5072871/
https://www.ncbi.nlm.nih.gov/pubmed/27795795
http://dx.doi.org/10.11604/pamj.2016.24.200.9771
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