Comparative Analysis of Outcome of Management of Pediatric Cataract With and Without Primary Posterior Capsulotomy and Anterior Vitrectomy

Kumar, Jitendra; Misuriya, V. K.; Mishra, Anoop Kumar

doi:10.14260/jemds/2014/2822

Cited by 3 publications

(2 citation statements)

References 25 publications

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“…other studies done by (5) whose study was on 100 eyes of 100 patients, (6) whose study was on 160 eyes, 95% of the patients had visual function improvement, In the study done by (7) , The mean macular thicknesses was decreased postoperatively at four weeks with mean (247.27 ± 12.54 µm) which was not statistically significant and decreased at three months with mean (243.27 ± 12.69) which was highly statistically significant.…”

Section: This Was Consistent With What Was Proved Bymentioning

confidence: 94%

Central Macular Thickness Changes Following Laser Posterior Capsulotomy Measured By Optical Coherence Tomography

Elmazlom

Khalil

Gouda

2022

Egyptian Journal of Medical Research

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Background: Posterior capsular opacification (PCO), also called 'secondary' or 'after' cataract, develops a few months to a few years over the clear posterior capsule after an uncomplicated cataract surgery that causes decreased vision. Purpose: To evaluate the impact of Neodymiumdoped Yttrium Aluminum-Garnet (Nd: YAG) laser capsulotomy on the central macular thickness (CMT) by optical coherence tomography (OCT) in patients with opacified posterior capsule. Patients and Methods:This is a prospective clinical study conducted on 30 pseudophakic patients recruited from Luxor International Hospital and Beni-Suef University Hospital during the period from December 2018 through August 2019. Their age ranged from 40 -70 years with a mean ± SD of 56.0 ± 8.89 years. There were 19 females (63.3%) and 11 males (36.7%). Results: There was highly statistically significant increase in CMT 1 week post YAGYAG laser than pre-YAGYAG with a mean thickness of 253.80 ± 14.03 µ vs 241.53 ± 10.22 µ respectively with a P-value < 0.001. Four weeks post YAGYAG,, CMT decreased to 247.27 ± 12.54 µ (P= 0.186) which is non significant. At 12 weeks post YAGYAG CMT decreased to 243.27 ± 12.69 .with p-value < 0.001 which is highly statistically significant. Conclusion: Increased CMT was reported as complication of YAG laser posterior capsulotomy. Although this is not clinically observed but follow up with OCT revealed these changes. However, this might not necessitate regular prophylactic treatment.

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Section: This Was Consistent With What Was Proved Bymentioning

confidence: 94%

Central Macular Thickness Changes Following Laser Posterior Capsulotomy Measured By Optical Coherence Tomography

Elmazlom

Khalil

Gouda

2022

Egyptian Journal of Medical Research

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“…Whitman and Vanderveen suggest that older children with simple PCO can undertake laser capsulotomy and those with both PCO and VAO can proceed to surgery [ 42 ]. Randomized controlled study in 27 children aged between 4 and 14 years who underwent the intervention of cataract surgery with or without PPC and AV demonstrated better visual acuity and significantly less PCO in the group that undergone cataract surgery with PPC and AV [ 39 , 43 ]. Elkin et al revised the incidence of PCO in all age groups of pediatric cataract patients who underwent cataract extraction followed by IOL implantation without PPC and AV and found occurrence of PCO up to 90% [ 44 ].…”

Section: Prevention and Treatment Of Early Diabetic Cataract In Pomentioning

confidence: 99%

Cataract as Early Ocular Complication in Children and Adolescents with Type 1 Diabetes Mellitus

Šimunović

Paradžik

Skrabic

et al. 2018

International Journal of Endocrinology

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Cataract is a rare manifestation of ocular complication at an early phase of T1DM in the pediatric population. The pathophysiological mechanism of early diabetic cataract has not been fully understood; however, there are many theories about the possible etiology including osmotic damage, polyol pathway, and oxidative stress. The prevalence of early diabetic cataract in the population varies between 0.7 and 3.4% of children and adolescents with T1DM. The occurrence of diabetic cataract in most pediatric patients is the first sign of T1DM or occurs within 6 months of diagnosis of T1DM. Today, there are many experimental therapies for the treatment of diabetic cataract, but cataract surgery continues to be a gold standard in the treatment of diabetic cataract. Since the cataract is the leading cause of visual impairment in patients with T1DM, diabetic cataract requires an initial screening as well as continuous surveillance as a measure of prevention and this should be included in the guidelines of pediatric diabetes societies.

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Complications of Pediatric Cataract Surgery

Gasper¹,

Trivedi²,

Wilson³

2016

Developments in Ophthalmology

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Postoperative complications associated with cataract surgery in children vary significantly from those typically seen in adults. Pediatric patients are at an increased risk of problems after intraocular surgery due to increased ocular elasticity, heightened inflammatory reactions, and an elevated risk of postoperative trauma. Any complication is particularly important to detect early in children due to the potential for aberrant development, which may result in decreased visual acuity. Further, complications arise throughout the immediate and extended postoperative periods that may be challenging to detect given the difficulty of the clinical examination of some young patients. Herein, we address common complications observed during the immediate postoperative period and during the months and years following cataract surgery in pediatric patients.

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Comparative Analysis of Outcome of Management of Pediatric Cataract With and Without Primary Posterior Capsulotomy and Anterior Vitrectomy

Cited by 3 publications

References 25 publications

Central Macular Thickness Changes Following Laser Posterior Capsulotomy Measured By Optical Coherence Tomography

Central Macular Thickness Changes Following Laser Posterior Capsulotomy Measured By Optical Coherence Tomography

Cataract as Early Ocular Complication in Children and Adolescents with Type 1 Diabetes Mellitus

Complications of Pediatric Cataract Surgery

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