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Pediatrik travmatik kataraktta cerrahi yaklaşım

Year 2018, Volume: 43 Number: Supplement 1, 80 - 85, 29.12.2018
https://doi.org/10.17826/cumj.401046

Abstract

Amaç: Bu çalışmada kliniğimizde travmatik katarakta bağlı opere olan çocuklarda cerrahi yaklaşımımızı bildirmek amaçlanmıştır.

Gereç ve Yöntem: Travmatik kataraktı olan çocuk hastalarda ön vitrektor kullanılarak lensektomi yapıldı. Kapsül desteği olanlar hastalarda göz içi lens (GİL) bag içine veya sulkusa, kapsül desteği olmayanlarda GİL sütürsüz skleral fiksasyon metoduyla yerleştirildi.

Bulgular: Yirmi bir hastanın 21 gözü çalışmaya dahil edildi. Ortalama yaş 8.7 ±3.5 yıl idi. Tüm hastalarda penetran yaralanma mevcuttu ve korneal perforasyon nedeniyle öncesinde korneal sütürasyon yapılmıştı. Tüm hastalarda ön vitrektomi probu kullanılarak lensektomi yapıldı. 2 hastada tek parça GİL bag içine, 12 hastada 3 parçalı lens sulkusa, 4 hastada 3 parçalı lens skleral fiksasyon yöntemi ile yerleştirildi. 3 hastada retinal problem nedeniyle kombine pars plana vitrektomi- lensektomi ve skleral fiksayon metodu uygulandı. GİL implantasyonu için korneal tünel yerine skleral tünel tercih edildi.

Sonuç: Travmatik katarakt olgularında lens kapsül bütünlüğü çoğunlukla bozulmuştur. Bu vakalarda kapsuloreksiz yapmak mümkün olmayabilir. Yine bu vakalarda ön kamarada genellikle vitreus ve fibrotik membranlar mevcuttur. Bu nedenle standart katarakt cerrahisi yerine ön vitrektomi probu kullanılarak lensektomi yapmanın daha uygun olduğu düşünülmektedir.

References

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Surgical approach to pediatric traumatic cataract

Year 2018, Volume: 43 Number: Supplement 1, 80 - 85, 29.12.2018
https://doi.org/10.17826/cumj.401046

Abstract

Purpose: The aim of this study was o evaluate our surgical approach in children who were operated due to traumatic cataract in our clinic.

Material and Methods: By using anterior vitrector, lensectomy was performed in pediatric patients who have traumatic cataract. The patients who have capsular support, the intraocular lens (IOL) was implanted in the capsular bag or in the sulcus and who do not have capsule support the IOL was implanted with sutureless intrascleral fixation method.

Results: 21 eyes of 21 patients were included in the study. The mean age of the cases was 8.7 ±3.5 years. All of the cases had penetran injuries, and performed corneal suturation before due to the corneal perforation. Lensectomy was performed by using anterior vitrectomy probe in all patients. ln two patients, monoblock foldable  IOL were implanted in the capsular bag, in 12 patients three-piece foldable IOL were implanted in the sulcus and in 4 patients three-piece foldable lens were implanted with intrascleral fixation. The combination of pars plana vitrectomy-lensectomy and three-piece foldable IOL implantation with intrascleral fixation were done in three patients because of retinal problem. Scleral tunnel was preferred to corneal tunnel for implantation of IOL.

Conclusion: Lens capsule integrity was usually impaired in traumatic cataract cases. It may be not possible to do capsulorrhexis in these cases. Vitreous and fibrotic membrane are usually found in anterior chamber in these cases. It is considered that it is more appropriate to do lensectomy by using anterior vitrectomy probe instead of standard cataract surgery.

References

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Details

Primary Language English
Subjects Health Care Administration
Journal Section Research
Authors

Emine Çiloğlu

Fikret Ünal This is me

Publication Date December 29, 2018
Acceptance Date June 1, 2018
Published in Issue Year 2018 Volume: 43 Number: Supplement 1

Cite

MLA Çiloğlu, Emine and Fikret Ünal. “Surgical Approach to Pediatric Traumatic Cataract”. Cukurova Medical Journal, vol. 43, no. Ek 1, 2018, pp. 80-85, doi:10.17826/cumj.401046.

Cited By

Importance of Early Intervention of Traumatic Cataract in Children
International Journal of Innovative Science and Research Technology (IJISRT)
https://doi.org/10.38124/ijisrt/IJISRT24JUN645