Lensectomy in Congenital Cataract
Hasche H.1, Lieb W.1, Littan T.2, Grehn F.1
1Universitäts-Augenklinik, Bayerische Julius-Maximilians-Universität Würzburg; 2Augenklinik, Städtisches Klinikum Braunschweig
Purpose: The appropriate age for primary IOL-implantation in children with congenital cataract still is discussed controversally. We analyzed the functional outcome and complications of lensectomy with anterior approach with primary intracapsular lens implantation versus pars-plana-lensectomy with contact lens treatment.
Method: Retrospective patient data of cataract surgery in children up to 15 years old from 1995 to 2003 were evaluated. 82 eyes of 62 children were included, exclusion criteria were corneal, retinal and traumatic disorders. The anterior approach with posterior capsulotomy and anterior vitrectomy was performed in 37 eyes of 30 patients older than 2 years. Average age at surgery was 6,5 ± 3,6 years. In bilateral cataract surgery on the second eye was performed 1,2 ± 1,7 (n=7) months later. 45 eyes of 32 children under 2 years old underwent pars-plana-lensectomy. Average age was 0,9 ± 1,4 years. The second eye was treated 0,5 ± 0,23 (n=12) months later.
Results: In the group with anterior approach patients achieved a visual improvement of Zurück | Back