engleski

Functional and clinical results following cataract surgery in children

Purpose: To compare clinical and functional results in children that have been operated by two methods: A: extracapsular cataract extraction with posterior chamber IOL implantation (ECCE + PC IOL ) and B: phacofragmentation with PC IOL implantation ( PHACO + PC IOL). Setting: Department of Ophthalmology, General Hospital “Sveti Duh”, Zagreb, Croatia. Methods: Retrospective study (covering last 6 years) of intraoperative and postoperative complication incidence was made in hundred eyes that were operated by either ECCE (n=40) or PHACO (n=60). Children were 3 months to 10 years old, and were operated by the same surgeon in a period between 1993-1998. In all children under 3 years of age additional surgeries, such as posterior curvilinear capsulorhexis and anterior vitrectomy, were performed. Results: Postoperative visual acuity of 0.4 or more was achieved in 70-76.2% and 80-83.3% of eyes operated by ECCE or PHACO (respectively). Intraoperative complications was found in 27.5% operated by ECCE and in 6.6% eyes operated by PHACO. Postoperative complications was found in 76% eyes operated by ECCE and in 50% eyes operated by PHACO.The most frequent postoperative complication was posterior capsule opacification (A: 60%, B: 40%). Conclusion: We suggest PHACO as a method of choice for the cataract surgery in children. because of less intraoperative and postoperative complications, and faster recovery. Posterior capsulorhexis and anterior vitrectomy showed to be of crucial importance since it prevents formation of posterior capsule opacification.

cataract surgery; children

nije evidentirano