ISSN: 1300-0365
Dil: Türkçe
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Results Of Treatment In Patients With Congenital And Developmental Cataract
Aylin YAMAN*, A.Tülin BERK**, İsmet DURAK***, Zeynep ÖZBEK*
* Uz.Dr., Dokuz Eylül Üniversitesi Tıp Fakültesi Göz Hastalıkları AD,** Doç.Dr., Dokuz Eylül Üniversitesi Tıp Fakültesi Göz Hastalıkları AD,*** Prof.Dr., Dokuz Eylül Üniversitesi Tıp Fakültesi Göz Hastalıkları AD, İZMİR
Objective: To evaluate the results of treatment in pediatric patients with congenital and developmental cataract.Method: We reviewed the records of 72 eyes of 40 children who had cataract surgery in Dokuz Eylül University Ophthalmology Department between January 1993 and December 2000. Anterior capsulectomy, lens aspiration, posterior capsulectomy and anterior vitrectomy were performed. Posterior chamber intraocular lens was implanted in children who were older than 24 months. Visual acuity, intraocular pressure, pupillary dilatation and refraction status were examined postoperatively. Result: Cataracts were bilateral in 32 children and unilateral in 8 children. The mean age of the patients at the time of surgery was 11.83 months (min.15 days max: 60 months). Only 9 patients had surgery before 3 months (22.5%). Visual acuity was worse than 0.1 in 21 of 72 eyes (29.1%). Nystagmus was present in 19 (59.3%) bilateral cases preoperatively. Visual acuity was worse than 0.1 in 16 eyes (42.1%) with nystagmus. Strabismus was present in 4 patients of unilateral case and in 13 patients of bilateral cases. Amblyopia has been found in 28 patients (70%) during follow-up. Aphakic glaucoma developed in 5 patients (12.5%). The avarage interval between the cataract surgery and the diognosis of glaucoma was 34.8 months (range 6-80 months).Conclusion: Although the results of surgery in those patients was successful, visual outcome was poor, especially in patients with nystagmus. Aphakic glaucoma can develop in patients after cataract surgery during follow-up. These patients should be routinely examined for possible complications.Keywords: Congenital cataract, Developmental cataract, Visual prognosis, Aphakic glaucomaTurkiye Klinikleri J Ophthalmol 2003, 12:29-36
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