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22 December 2005

Surgical technique and postoperative complications in congenital cataract surgery.

Sevin Soker Cakmak, Ihsan Caca, M. Kaan Unlu, Alpay Cakmak, Gonul Olmez, Yildirim Beyazit Sakalar

Med Sci Monit 2006; 12(1): CR31-35 :: ID: 443189

Abstract

Background: We evaluated cases that underwent congenital cataract surgeryin terms of the surgical technique, post-operative complications, and visual prognosis. Material/Methods:We retrospectively evaluated 132 eyes in 76 patients with congenital cataracts who underwent cataractsurgery between January 1995 and December 2000. The patient age at surgery, surgical technique, post-operativecomplications, and final visual prognosis were evaluated. Results: Thirty eyes underwent aspiration,posterior capsulotomy, and intraocular lens (IOL) implantation; 22 eyes underwent aspiration and posteriorcapsulotomy; 39 eyes underwent aspiration, posterior capsulotomy, and anterior vitrectomy; and 41 eyesunderwent aspiration, posterior capsulotomy, anterior vitrectomy, and IOL implantation. The most frequentcomplications were secondary cataract (24.2%), posterior synechiae (9.1%), and glaucoma (3%). Groupswere compared according to surgical technique and incidence of complications. Complications occurredmost frequently with aspiration and posterior capsulotomy and occurred less frequently with aspiration,posterior capsulotomy, and anterior vitrectomy; these differences were statistically significant (p

Keywords: Adolescent, Cataract - physiopathology, Cataract Extraction - methods, Child, Child, Preschool, Postoperative Complications

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Medical Science Monitor eISSN: 1643-3750
Medical Science Monitor eISSN: 1643-3750