Near-total posterior capsulotomy in congenital cataract surgery: a novel surgical approach

Year 2022, Volume: 1 Issue: 1, 14 - 19, 29.04.2022

Abuzer Gündüz , Emrah Öztürk , Ercan Ozsoy

Abstract

Background: To define near-total posterior capsulotomy instead of partial posterior capsulotomy with lens aspiration and anterior vitrectomy in congenital cataract surgery.
Materials and Methods: The research was carried out in a tertiary care center. Eleven patients who underwent near-total posterior capsulotomy, lens aspiration, and anterior vitrectomy surgery for treatment of congenital cataract between January 2010 and September 2018 were included in the study. Lenticular leukocoria was accepted as an indication for surgery. Patients who were older than six months at diagnosis and had a follow-up time of less than six months were excluded from the research. Surgical success was defined as the presence of a clear central visual axis in postoperative 6th months.
Results: The study included 22 eyes from 11 cataract surgery patients due to congenital cataracts. Both eyes of all patients underwent surgery in the same session. At the time of diagnosis, the average age of the patients was 2.89 ± 1.8 months, and at the time of surgery, the mean age of the patients was 3.70 ± 1.84 months. The average follow-up time was 16.54 ± 14.96 (8-48) months. Intraoperative complications did not occur in any patient. Visual axis opacification was not observed in any patient during the follow-up.
Conclusions: Near-total posterior capsulotomy is an easy and safe surgical technique. It could reduce the visual axis opacification.

Keywords

Anterior Vitrectomy, Congenital Cataract, Lens Aspiration, Posterior Capsulotomy, Visual Axis Opacification

Supporting Institution

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Project Number

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Thanks

Acknowledgment: The authors have no proprietary or financial interest in any products used in this study.

Konjenital katarakt cerrahisinde totale yakın posterior kapsülotomi: yeni bir cerrahi yaklaşım

Abstract

Amaç: Konjenital katarakt cerrahisinde lens aspirasyonu ve anterior vitrektomiye ile birlikte uygulanan parsiyel posterior kapsülotomi yerine totale yakın posterior kapsülotomi yaklaşımını tanımlamak.

Materyal ve Metot: Bu çalışma üçüncü basamak bir merkezde yürütülmüştür. Ocak 2010-Eylül 2018 tarihleri arasında konjenital katarakt tedavisi için totale yakın posterior kapsülotomi, lens aspirasyonu ve anterior vitrektomi uygulanan 11 hasta çalışmaya dahil edildi. Ameliyat endikasyonu lentiküler lökokori olarak tanımlandı. Tanı anında altı aydan büyük olan ve takip süresi altı aydan az olan hastalar çalışmaya dahil edilmedi. Cerrahi başarı, postoperatif 6. ayda merkezi görmel aksın açık olması olarak tanımlandı.

Bulgular: Konjenital katarakt nedeniyle opera edilen 11 hastanın toplam 22 gözü çalışmaya dahil edildi. Tüm hastaların her iki gözüne aynı seansta ameliyat uygulandı. Hastaların tanı anındaki ortalama yaşı 2.89 ± 1.8 ay iken operasyon esnasındaki ortalama yaşı 3.70 ± 1.84 aydı. Ortalama takip süresi 16.54 ± 14.96 (8-48) aydı. Cerrahi esnasında hiçbir hastada komplikasyon izlenmedi. Takipler esnasında hiçbir hastada görsel aksı kapatan bir opasite izlenmedi.

Sonuç: Totale yakın posterior kapsülotomi kolay ve güvenilir bir cerrahi tekniktir. Bu teknik ile görsel aks opasiteleri azaltılabilir.

Keywords

Posterior kapsulotomi, Anterior Vitrektomi, Görsel Aks Opasitesi, Konjenital Katarakt, Lens Aspirasyonu

Project Number

yok

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