ISSN: 1300-0365
Dil: Türkçe
|
|
|
|
ORIGINAL RESEARCH ARTICLES |
Evaluation Of Complications In Intraocular Lens Implanted Congenital Cataract Cases According To Age Groups
Dr. Şaban ŞİMŞEK,a Dr. Atilla YAZICIOĞLUa
aYüzüncü Yıl Üniversitesi Tıp Fakültesi Göz Hastalıkları AD, VAN
Objective: To evaluate distribution of complications that might develop postoperatively in the intraocular lens implanted eyes according to the age groups in congenital cataract operations.
Material and Methods: Extracapsular cataract extraction (aspiration in soft nucleus, phaco in hard nucleus) and IOL implantation (lensectomy, posterior capsulotomy, anterior vitrectomy and endocapsular IOL implantation) were performed on 69 eyes of 47 patients who were diagnosed as congenital cataract at our clinic between December 1998 and August 2002. The patients whose ages varied from 1 to 16 years old were divided into two groups. In Group I there were 44 eyes, the ages were between 1-4 years old (mean 2.3±0.7). In Group II there were 25 eyes, the patients were 4 years old or older (mean 5.9±2.8 ).
Results: The results of our examination of 44 eyes were as follows in group I: Fibrosis of posterior capsulotomy margin in 39 eyes (88.8 % ), excessive fibrin reaction and fibrinous membrane formation in 27 eyes (61.4 %), dense precipitates on IOL in 19 eyes (43.2%), posterior synechias in 17 eyes (38.6 %), pupillary distortion in 14 eyes (31.8 %), severe cortex remnants in 3 eyes (6.8 %), traumatic iris atrophy in 9 eyes (20.5 %) and decentred IOL in 8 eyes(18.2 %). In Group II, 25 eyes were examined with the following Results: posterior capsule margin fibrosis in 14 eyes ( 56.0 %), precipitates on IOL in 7 eyes (28.0 %), posterior synechias in 4 eyes (16.0 %), pupillary distortion in 5 eyes (20.0 %), and traumatic iris atrophy in 5 eyes ( 20.0 % ). The differences between the two groups in respect of posterior capsule margin fibrosis, excessive fibrin reaction, posterior synechias and fibrinous membrane formation were found significant (P<0.05). We have not observed hyphema, iris prolapse, posterior dislocation of IOL, retinal detachment or any other complications in the examined eyes.
Conclusion: The postoperative complications increase with younger ages in congenital cataracts with ECCE+IOL implantation. It will be more reasonable to postpone IOL implantation to older ages if the visual rehabilitation of the patient is possible with other methods.Keywords: Congenital cataract, IOL implantation, AgeTurkiye Klinikleri J Ophthalmol 2004, 13:211-215
|
|
|
|
|
