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Anales de la Sociedad Mexicana de Oftalmología y Archivos de la Asociación Para Evitar la Ceguera en México

2005, Number 2

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Rev Mex Oftalmol 2005; 79 (2)

Phacoaspiration in traumatic cataract in children.

Matiz-Moreno H, Rubio-Romero O, Morales-Gómez ME

Language: Spanish
References: 79
Page: 79-87
PDF size: 71.50 Kb.


ABSTRACT

Purpose: To describe the presentation and the surgical and visual outcome of children with traumatic cataract who underwent phacoaspiration.
Methods: A retrospective non comparative series cases study of patients less than 18-year old, with traumatic cataract, who underwent phacoaspiration and had more than 4 weeks of postoperative follow up was performed.
Results: Sixty-four patients (9 months to 17-year old) were included. Perforating and blunt trauma were the most frequent mechanisms reported. The main clinical presentations were corneal compromise and zonular dehiscence. Pseudophakia was achieved in 96.7%. The best-corrected visual acuity was 20/80 in 67.2% patients and 18.7%, had 20/200 or less. Thirty patients (46.8%) developed posterior capsule opacification. Six patients (9.4%) presented IOL decentration and two more (3.1%) developed glaucoma as a consequence of the trauma. Postoperative spherical equivalent was +0.59 ± 1.55 D (range, -4.00 to +3.75 D). Fifteen eyes (45.5%) had ±1.00 D and 29 (87.8%), ±2.00 D.
Conclusions: Phacoaspiration surgery with intraocular lens implantation allows good visual recovery in most cases of traumatic cataract in children. As the antecedent of trauma is a risk factor for short, medium and long-term complications a close follow up must be performed.


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