Advances in the management of the surgical complications for congenital cataract

Ma, Fangqin; Wang, Qi; Wang, Lihua

doi:10.1007/s11684-012-0235-1

Cited by 12 publications

(12 citation statements)

References 51 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Studies suggest that secondary glaucoma tends to occur in cases with cataracts or follow cataract aspiration. Both glaucoma and cataracts require surgery in children, with both conditions representing complications of surgical intervention of the other complication . In the absence of clear information about the interaction of the conditions and the high likelihood of only detecting one eye disorder at a given point in time, we assumed independence of these eye defects and that both conditions result in equivalent morbidity .…”

Section: Resultsmentioning

confidence: 99%

Systematic Review of the Manifestations of Congenital Rubella Syndrome in Infants and Characterization of Disability‐Adjusted Life Years (DALYs)

et al. 2014

View full text Add to dashboard Cite

Congenital rubella syndrome (CRS) continues to cause disability among unvaccinated populations in countries with no or insufficient rubella vaccine coverage to prevent transmission. We systematically reviewed the literature on birth outcomes associated with CRS to estimate the duration, severity, and frequency of combinations of morbidities. We searched PubMed, the Science Citation Index, and references from relevant articles for studies in English with primary data on the frequency of CRS manifestations for ≥20 cases and identified 65 studies representing 66 study populations that met our inclusion criteria. We abstracted available data on CRS cases with one or more hearing, heart, and/or eye defect following maternal rubella infection during the period of 0-20 weeks since the last menstrual period. We assessed the quality and weight of the available evidence using a modified Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach. Most of the evidence originates from studies in developed countries of cohorts of infants identified with CRS in the 1960s and 1970s, prior to the development of standardized definitions for CRS and widespread use of vaccine. We developed estimates of undiscounted disability-adjusted life years (DALYs) lost per CRS case for countries of different income levels. The estimates ranged from approximately 19 to 39 for high-income countries assuming optimal treatment and from approximately 29 to 39 DALYs lost per CRS case in low- and lower- middle-income countries assuming minimal treatment, with the lower bound based on 2010 general global burden of disease disability weights and the upper bound based on 1990 age-specific and treatment-specific global burden of disease disability weights. Policymakers and analysts should appreciate the significant burden of disability caused by CRS as they evaluate opportunities to manage rubella.

show abstract

Section: Resultsmentioning

confidence: 99%

Systematic Review of the Manifestations of Congenital Rubella Syndrome in Infants and Characterization of Disability‐Adjusted Life Years (DALYs)

et al. 2014

View full text Add to dashboard Cite

show abstract

“…As a treatable cause of visual handicap in childhood, pediatric cataract is a priority of the “VISION 2020 Global Initiative”[1]. The aim of pediatric cataract surgery is to provide and maintain a clear visual axis and a focused retinal image [2]. Proper management of pediatric cataract is crucial to the visual development and rehabilitation of affected children.…”

Section: Introductionmentioning

confidence: 99%

Visual outcomes of dense pediatric cataract surgery in eastern China

Ren

Wang

et al. 2017

PLoS ONE

Self Cite

View full text Add to dashboard Cite

PurposeTo evaluate the visual outcomes of dense pediatric cataract surgery in eastern China.MethodsMedical records of children who underwent surgery for dense unilateral or bilateral pediatric cataract in Shandong Provincial Hospital between January 2007 and December 2012 were collected. Patients who cooperated with optical correction and aggressive patching of the sound eye and who had a minimum postoperative follow-up of more than 2 years were included. Risk factors for poor visual outcomes were analyzed.ResultsOf the 105 eligible patients (181 eyes), 76 had bilateral cataract, and 29 unilateral. With a mean follow up of 46.77 mo (range 24.0~96.0 mo), the final best corrected visual acuity (BCVA) of 158 eyes were recorded, and 4.43% (7/158) achieved 0.1 logarithm of the minimum angle of resolution (logMAR) or better; 15.19% (24/158) obtained a BCVA between 0.1 logMAR and 0.3 logMAR; 18.99%, (30/158) between 0.3 logMAR and 0.5 logMAR; 46.84% (74/158), between 0.5 logMAR and 1 logMAR; 14.55%, worse than 1 logMAR. The mean BCVA of the patients who underwent lensectomy before 3 months of age was significantly better than that of patients who underwent lensectomy between 3 and 12 months (p = 0.001). In the same lensectomy age groups, the final BCVA of the children in the bilateral and unilateral groups did not differ significantly (P>0.05). Lensectomy after 3 months of age, postoperative complications, strabismus and nystagmus were shown to be risk factors for poor visual outcomes.ConclusionsLensectomy before 3 months of age, IOL implantation, proper managing of postoperative complications, early optical correction and aggressive postoperative patching of the sound eye would increase the final BCVA for patients with dense pediatric cataract.

show abstract

“…Besides, it makes possible the use of short needles (ie, 2.54 cm) and local infiltration anesthesia, unlike conventional methods, where the length of a needle is 45 mm 27. It allows using the block in operations where less deterioration in the surgery site is desired, such as ophthalmic surgeries 28. In our study, in addition to the analgesic effect, we wanted to achieve the effect of a stable depth of the anterior chamber and thereby create optimal conditions for the surgeon to work in the anterior segment of the eye.…”

Section: Discussionmentioning

confidence: 99%

Effect of pterygopalatine blockade on perioperative stress and inflammatory outcomes following paediatric cataract surgery

Oleshchenko

Çok

Юрьева

et al. 2020

Reg Anesth Pain Med

View full text Add to dashboard Cite

BackgroundGeneral anesthesia is required to perform pediatric cataract surgery. To reduce severity of surgical intervention and postoperative complications, regional techniques have been concomitantly used. The traditional regional ophthalmic techniques are retrobulbar, peribulbar and sub-Tenon blocks, which present some technical difficulties and associated complication risks. The pterygopalatine blockade has been exempt of many of these concerns as it is performed out of the orbit. The purpose of this study was to compare the analgesic and anti-inflammatory effects of the pterygopalatine blockade with retrobulbar block in children undergoing elective congenital cataract surgery.MethodsAfter approval of ethics committee and informed consents, patients were enrolled to the study to have either ultrasound-guided pterygopalatine block (group P) or retrobulbar block (group R), with 2 mL lidocaine 2% and 1 mL ropivacaine 0.5%. Hemodynamic monitoring was recorded throughout the perioperative period. Cortisol level and oxidation–reduction status were assessed before and after surgery. Pain and inflammatory response (Tyndall effect, corneal syndrome and edema) were assessed on the first postoperative day.ResultsComparative analysis demonstrated a decrease in cortisol of 123.24% (p˂0.05) and an increase in the redox coefficient of 37.7% (p˂0.05) in group P. Pain intensity was significantly higher in group R until the 16th postoperative hour. The corneal syndrome in patients in group P and group R was noted by 7.6% and in 32.1%, respectively (p˂0.05).ConclusionThe use of the pterygopalatine blockade as a component of anesthesia in pediatric cataract surgery allows reduction of the severity of surgical stress during surgical intervention, providing intraoperative hemodynamic stability and prolonged analgesia.

show abstract

Advances in the management of the surgical complications for congenital cataract

Cited by 12 publications

References 51 publications

Systematic Review of the Manifestations of Congenital Rubella Syndrome in Infants and Characterization of Disability‐Adjusted Life Years (DALYs)

Systematic Review of the Manifestations of Congenital Rubella Syndrome in Infants and Characterization of Disability‐Adjusted Life Years (DALYs)

Visual outcomes of dense pediatric cataract surgery in eastern China

Effect of pterygopalatine blockade on perioperative stress and inflammatory outcomes following paediatric cataract surgery

Contact Info

Product

Resources

About