Cataratas congénitascomplicaciones y resultados funcionales según diferentes técnicas quirúrgicas

  1. S. Perucho-Martínez
  2. P. Tejada-Palacios
  3. J. de-la Cruz-Bertolo
Revista:
Archivos de la Sociedad Española de Oftalmologia

ISSN: 0365-6691

Año de publicación: 2010

Volumen: 85

Número: 1

Páginas: 16-21

Tipo: Artículo

DOI: 10.4321/S0365-66912010000100004 DIALNET GOOGLE SCHOLAR lock_openAcceso abierto editor

Otras publicaciones en: Archivos de la Sociedad Española de Oftalmologia

Resumen

Purpose: To evaluate visual results, refractive error and complications in a series of congenital cataracts treated with different surgical techniques. Methods: Retrospective review of 51 eyes with congenital cataracts which were surgically treated between 1989 and 2005. Eleven were unilateral cataracts and 40 were bilateral cataracts. Thirty-three eyes were treated with a primary intraocular lens (IOL) and 18 were aphakic eyes. Results: The best outcomes were observed in bilateral cataracts and in those that received early primary IOL. Three eyes achieved 0.8-1, two eyes achieved 0.6-0.7. All of them were eyes with primary IOL. Seventeen percent of unilateral cataracts and 23.8% of bilateral cataracts achieved 0.4 or better. The most serious complication was visual axis opacification (VAO), 27 of 51 eyes developed VAO. Fifty percent of eyes with primary IOL and 63% of aphakic eyes developed VAO. The VAO developed sooner in the IOL group (6.5 months on average). There was a high myopic shift in 3 eyes. There was a significantly greater myopic shift in the unilateral cases. Conclusions: The best acuities were achieved in the eyes which had been treated with early primary IOL, but they had a higher rate of complications (VAO), thus requiring reoperation. Final refraction in the unilateral group was significantly more myopic than in the bilateral group.

Referencias bibliográficas

  • Foster, A, Gilbert, C, Rahi, J. (1997). Epidemiology of cataract in childhood: a global perspective. J Cataract Refract Surg.. 231. 601
  • Lambert, SR, Lynn, M, Drews-Botsch, C, Loupe, D, Plager, DA, Medow, NB. (2001). A comparison of grating visual acuity, strabismus, and reoperation outcomes among children with aphakia and pseudophakia after unilateral cataract surgery during the first six months of life. J AAPOS.. 5. 70
  • Lambert, SR, Lynn, M, Drews-Botsch, C, DuBois, L, Plager, DA, Medow, NB. (2004). Optotype acuity and re-operation rate after unilateral cataract surgery during the first 6 months of life with or without IOL implantation. Br J Ophthalmol.. 88. 1387
  • Lambert, SR, Lynn, M, Drews-Botsch, C, DuBois, L, Wilson, ME, Plager, DA. (2003). Intraocular lens implantation during infancy: perceptions of parents and the American Association for Pediatric Ophthalmology and Strabismus members. J AAPOS.. 7. 400
  • Trivedi, RH, Peterseim, MM, Wilson, ME Jr. (2005). New techniques and technologies for pediatric cataract surgery. Curr Opin Ophthalmol.. 16. 289
  • Wilson, ME Jr, Bartholomew, LR, Trivedi, RH. (2003). Pediatric cataract surgery and intraocular lens implantation: practice styles and preferences of the 2001 ASCRS and AAPOS memberships. J Cataract Refract Surg.. 29. 1811
  • Trivedi, RH, Wilson, ME Jr. (2003). Single-piece acrylic intraocular lens implantation in children. J Cataract Refract Surg.. 29. 1738
  • Kim, KH, Ahn, K, Chung, ES, Chung, TY. (2008). Clinical outcomes of surgical techniques in congenital cataracts. Korean J Ophthalmol.. 22. 87-91
  • Vasavada, AR, Raj, SM, Nihalani, B. (2004). Rate of axial growth after congenital cataract surgery. Am J Ophthalmol.. 138. 915
  • Dahan, E, Drusedau, MU. (1997). Choice of lens and dioptric power in pediatric pseudophakia. J Cataract Refract Surg.. 23. 618
  • Sinskey, RM, Stoppel, JO, Amin, P. (1993). Long-term results of intraocular lens implantation in pediatric patients. J Cataract Refract Surg.. 19. 405
  • Lorenz, B, Worle, J, Friedl, N, Hasenfratz, G. (1993). Ocular growth in infant aphakia: Bilateral versus unilateral congenital cataracts. Ophthalmic Paediatr Genet.. 14. 177
  • Fan, DS, Rao, SK, Yu, CB, Wong, CY, Lam, DS. (2006). Changes in refraction and ocular dimensions after cataract surgery and primary intraocular lens implantation in infants. J Cataract Refract Surg.. 32. 1104
  • Hussin, HM, Markham, R. (2009). Changes in axial length growth after congenital cataract surgery and intraocular lens implantation in children younger than 5 years. J Cataract Refract Surg.. 35. 1223
  • Wilson, ME Jr, Trivedi, RH. (2004). Eye growth after pediatric cataract surgery. Am J Ophthalmol.. 138. 1039
  • Enyedi, LB, Peterseim, MW, Freedman, SF, Buckley, EG. (1998). Refractive changes after pediatric intraocular lens implantation. Am J Ophthalmol.. 126. 772
  • Awner, S, Buckley, EG, DeVaro, JM, Seaber, JH. (1996). Unilateral pseudophakia in children under 4 years. J Pediatr Ophthalmol Strabismus.. 33. 230
  • Tromans, C, Haigh, PM, Biswas, S, Lloyd, IC. (2001). Accuracy of intraocular lens power calculation in paediatric cataract surgery. Br J Ophthalmol.. 85. 939
  • Neely, DE, Plager, DA, Borger, SM, Golub, RL. (2005). Accuracy of intraocular lens calculations in infants and children undergoing cataract surgery. J AAPOS.. 9. 160
  • Wilson, ME Jr, Trivedi, RH, Buckley, EG, Granet, DB, Lambert, SR, Plager, DA. (2007). Hydrophobic acrylic intraocular lenses in children. J Cataract Refract Surg.. 33. 1966
Fuente de los datos: Dialnet