Programm                 "Degeneration und Regeneration– Grundlagen, Diagnostik und Therapie"


Hotelbuchung
   Hotel Registration
Grußwort
   Welcome address
Beteiligte Gesellschaften
   Societies involved
DOG Information
   DOG Information
Eröffnung des Kongresses
   Opening Ceremony
Preise
   Awards
Ablauf der Tagung 2003
   General overview of congress
Lageplan der Räumlichkeiten
   Map of Congress Center
Wissenschaftliche Themen
   Scientific topics
Symposien
   Symposia
Wissenschaftliches Programm
   Scientific program
Posterpräsentationen
   Poster Presentation
Kurse
   Courses
Begleitende Veranstaltungen
   Accompanying program
Arbeitssitzungen
   Working sessions
Rahmenprogramm
   Social program
Allgemeine Informationen
   General Information
Autorenindex
   Index of Authors
Industrieaussteller
   Commercial exhibitors
Sponsoren
   Sponsors
Impressum



DOG Homepage


Abstract
Abstract

Cataract Surgery during Childhood and Youth

Böckmann M., Schaperdoth B., Bornfeld N., Steuhl K.-P., Hudde T.
University Eye Hospital, Essen

Purpose: Improved microsurgical techniques increased the safety of cataract surgery during childhood substantially. Often IOL implantation is possible (we implant at the age of 2 years or above). Patching, spectacles and/or contact lens wear helps visual acuity to develop.
Method: Retrospectively the charts of all patients under 18 years who underwent cataract surgery between 1997 and 2003 were reviewed. Intra and post operative courses including visual acuity and complications were examined.
Results: 48 patients (69 eyes) had cataract surgery at the age of in average 74 (0.5 to 191) months. In 42 eyes congenital cataract was present, in 6 eyes traumatic cataracts, and in 18 eyes cataract developed mainly because of syndromes. In 55 eyes an anterior surgical approach and in 14 eyes an approach via the pars plana was employed. An IOL was primarily implanted in 49 eyes. In most eyes a posterior capsulotomy was performed. In 18 eyes (mainly children with syndromes) no visual acuity could be obtained preoperatively and in 12 eyes postoperatively. Visual acuity improved in 37 eyes, was unchanged in 5 eyes and deteriorated one line in 5 eyes. In average vision improved by 1.8 (-1 to 10) lines.
Conclusions: Cataract surgery can be considered safe during childhood and youth. The essential complication is secondary glaucoma. Small incision surgery which spares the conjunctiva should be preferred in the view of potentially nec


Zurück | Back